Registration Form

Please forward this form (fax or email) to Christine Morfitt:

Fax: 1-866-861-7484 or email: cmorfitt@shaw.ca

Athlete Name: _________________________________________

Parent Name: __________________________________________

Address:______________________________________________

Phone Number: _________________________________________

Email Address: _________________________________________

Birthdate: ____________________________________________

BC Athletic Number: ____________________________________

BC Care Card Number: ___________________________________

Emergency Contact: _____________________________________

Emergency Contact Phone number: __________________________

Current Medications (name and amount):_______________________

T-Shirt size (Circle one): S M L X L XXL

These are adult sizes

Food Allergies or sensitivities: ________________________________

Medical conditions or injuries that coaches should know about: ________

________________________________________________________

Summer Games events: _____________________________________