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    info@trackie.com

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ADD MEMBERS

Additional member



large-loader
* Denotes required field.

Membership type You will be charged the highest fee only.

AC # * Lookup
Select all types that apply to this individual. *
Shared
* Denotes required field.

General information

First name: *
Last name: *
Birth date: *
Month…
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Preference: *
Sex: *
Health #:
Citizenship: *
Select…
  • Canadian
  • Permanent Resident/Landed Immigrant
  • Student Visa
  • Other
Shared
Birth Country: *
Lookup
Shared
Indigenous: *





Zone: *
Select…
  • Zone 1 - South East
  • Zone 2 - Regina
  • Zone 3 - South West
  • Zone 4 - Parkland
  • Zone 5 - Prairie Central
  • Zone 6 - Saskatoon
  • Zone 7 - Rivers West
  • Zone 8 - Lakeland
  • Zone 9 - North
IMPORTANT: If you belong to a club make sure you change your club affiliation below.
Request Club:
Lookup
School:
* Denotes required field.

Contact information

Primary Email: *   
Shared
Secondary Email:
Shared
Address: *
Shared
Address 2:
Shared
City: *
Shared
Province: *
Shared
Country *
Shared
Postal code: *
Shared
Phone:
Shared
Work phone:
Mobile phone:
* Denotes required field.

Other information

Parent/Guardian:
Primary Email:
* Denotes required field.

Waiver forms