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(*)
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Birth Date(*)
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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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You must agree to the terms to register.

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