Parent & Tot - Adult Participant Form (Ingersoll Skating Club)
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Parent & Tot - Adult Participant Form
Please complete the following information that is required to complete the Skate Canada Membership registration.
Skaters' Information
Child's Name:
Please enter the name of the child that is registered.
Adult's Name:
Please enter the name of the adult that will be assisting the above skater.
Adult Information Required
Birthdate:
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Calendar
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Street Address:
City/Town:
Postal Code:
E-Mail Address:
Example:
[email protected]
Preferred Language:
English
French
Gender:
Male
Female
Another
Prefer Not To Disclose
Home Phone:
Example: ###-###-####
Cell Phone:
Example: ###-###-####
Human Validation
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Printed from ingersollskatingclub.com on Sunday, April 11, 2021 at 8:58 PM
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