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

Prénom *

Nom *

Sexe *

Homme Femme

Date de naissance * (AAAA-MM-JJ)

/ /

Athlete Street Address *

Athlete City *

Athlete Postal Code *

Allergies & medication

Recent injuries

Primary Event Group *

Parent #1 Name (Primary Contact)

Parent #1 Cell Phone - Téléphone international

Parent #1 Email Recevoir des courriels

Parent #2 Name (optional)

Parent #2 Cell Phone - Téléphone international

Parent #2 Email Recevoir des courriels

How did you hear about Flying Angels?

Notes or Comments

Name of person completing this form *

Camp Location *

Camp Dates *

Early drop off

25,00$

QTÉ

Late Pick-up

25,00$

QTÉ

Flying Angels Summer Camp