Create Account

Skater Registration

Skater First Name(*)

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Skater Last Name(*)

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Middle Initial

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Email Address(*)

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Create Password(*)

Password must be at least 8 characters, and must include at least one upper case letter, one lower case letter, one numeric digit and one special character.

Confirm Password(*)

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Gender(*)

FemaleMaleNot Applicable Invalid Input

Birth Date(*)

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Prefered Language of Instruction

EnglishFrenchNo Preference Invalid Input

All our instructors speak English and many speak French. If you prefer French we will attempt to place your skater withe a French instructor when possible.

Skate Canada Number (if known)

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Home Club(*)

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Competition Level(*)

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Address(*)

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Address

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City(*)

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Province

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Postal Code(*)

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Country

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Emergency Contact Name(*)

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Relationship to Skater(*)

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Emergency Contact Phone(*)

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Emergency Contact Phone (alternate)

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Emergency Contact Phone (alternate 2)

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Family Doctor

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Doctor's Phone Number

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Any Medications Conditions?

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Allergies

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I acknowledge that participation in activities such as skating involves some risk and there is a chance of personal injury. The applicant hereby waives all claims, rights or cause of action against the Minto Skating Club 1987, its officers, directors, employees, or members, for personal injury or loss of property of ny nature, however or whenever sustained. You must agree to the terms to register.

I give my permission for The Minto Skating Club to use my image or the image of the skater (photograph or video) to promote club events and activities. Invalid Input

I acknowledge that I have read and agree to the terms of the Helmet Use Policy Invalid Input

(*)

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