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ADD MEMBERS

Additional member



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Membership type You will be charged the highest fee only.

AC # * Lookup
Select all types that apply to this individual. *
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General information

First name: *
Middle initial:
Last name: *
Competition name:
Birth date: *
Month…
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Preference: *
Sex: *
Citizenship: *
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Birth Country: *
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Region: *
Select…
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Request Club:
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Contact information

Email:
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Address: *
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Address 2:
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City: *
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Province: *
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Country *
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Postal code: *
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Phone:
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Other information

Parent/Guardian:
Email:
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Waiver forms

This form must be printed and sent to Athletics New Brunswick.