Registration

* Indicates required field

Jan-Mar 2014
Pre-Power Registration

Skater Name *

First

Last

Doctors Phone Number *

Family Doctor *

Health Card # *

Medical Conditions (allergies, asthma, diabetes etc) *

Gender *

Month *

Day *

Year *

Parent/Guarian Name *

First

Last

Province/State *

Address *

Email *

Phone Number *

City *

Postal Code *

Comment *

Submit

* Indicates required field

Jan-Mar 2014 CanPowerSkate Registration

Skater Name *

First

Last

Doctors Phone Number *

Family Doctor *

Health Card # *

Medical Conditions (allergies, asthma, diabetes etc) *

Gender *

Month *

Day *

Year *

Parent/Guarian Name *

First

Last

Province/State *

Address *

Email *

Phone Number *

City *

Postal Code *

Comment *

Submit

* Indicates required field

Jan-Mar 2014
AdultSkate Registration

Skater Name *

First

Last

Doctor *

Doctors Phone Number *

Health Card # *

Medical Conditions (allergies, asthma, diabetes etc) *

Email *

Address *

Province/State *

Phone Number *

City *

Postal Code *

Gender *

Month *

Day *

Year *

Comment *

Submit

Jan-Mar 2014 Pre-Power Registration

Jan-Mar 2014 CanPowerSkate Registration

Jan-Mar 2014 AdultSkate Registration

Jan-Mar 2014
Pre-Power Registration

Jan-Mar 2014
AdultSkate Registration