TRACKIE - Online registration for events, tournaments, clubs and organizations...

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Team - Is yours missing?

Mailing Address

City

Province

Postal Code

Phone Number - International Number

Email Address

Belt Rank *

NCCP Coach's Number (if applicable)

Email address to send member's waiver to (athlete email if 19+ or parent's email if U19) *

Participant's Digital Signature (type name) *

Parent/Guardian Digital Signature (type name) *

Membership type *

Category *

ShotoCanada Individual Registration 2024/25