First Name
Last Name
Parent/Guardian Name (If under 18)
Date of birth
Phone
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Email
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Emergency Contact Name
Address
City
Province
Postal code
List any physical or mental issues that may affect training
Which Youth Performance Program are you registering for?
3 day/week, 12 month
3 day/week, 6 month
3 day/week, 3 month
1 day/week, 12 month
1 day/week, 6 month
1 day/week, 3 month
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