Online Registration Form for 2023-2024 Foundation Power Speed Ages 12-13

2023-2024 Foundation Power Speed Ages 12-13

Ottawa, Ontario
Membership Year: 2024

Deadline: Jul 31 at 23:59 (Eastern Time)

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First Name *

Last Name *

Gender *

Male Female

DOB (YYYY/MM/DD) *

/ /

Citizenship *

Birth Country *

Email *

Address *

City *

Province *

Country *

Postal Code *

Phone

Emergency Contact Name *

Contact Relationship *

Contact Email *

Contact Phone *

Allergies or health concerns

Parent/Guardian #1 Full Name *

Parent/Guardian #1 Phone *

Parent/Guardian #1 Email *

Parent/Guardian #2 Full Name

Parent/Guardian #2 Phone

Parent/Guardian #2 Email

Address *

City *

Postal Code *

Emergency Contact *

Emergency Contact Email *

Emergency Contact Relationship *

Medical Condition *

Returning member Y/N *

Monday 6:30-8:00pm

Tuesday 6:30-8:00pm

Thursday 5:00-6:30pm

Saturday Session 1-8:30am-10:00am

Saturday Session 2-10:00am-11:30am

Membership type

Additional Purchases

AO U14
Price: $30.65
Quantity:

PROCEED TO STEP 2 SAVE & COMPLETE LATER ADD ANOTHER REGISTRANT

Program	Weeks	Price
Fall (PS) - 1 Practice	8	$250
Fall (PS) - 3 Practices	8	$445
Winter 1 - 1 Practice	7	$220
Winter 1 2 - 3 Practices	7	$395
Winter 2 - 1 Practice	7	$220
Winter 2 2 - 3 Practices	7	$395
Winter 3 - 1 Practice	7	$220
Winter 3 2 - 3 Practices	7	$395
Spring - 1 Practice	8	$250
Spring 2 - 3 Practices	8	$445
Summer - 1 Practice	10	$250
Summer 2 - 3 Practices	10	$560
Annual	44	$1,700

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2023-2024 Foundation Power Speed Ages 12-13

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Additional Purchases