TRACKIE - Online registration for events, tournaments, clubs and organizations...

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Hometown *

Team

Event Group Interest *

Athlete with a Disability (Para)? *

Emergency Contact (Full Name) *

Emergency Contact (Relation to Athlete) *

Emergency Contact (mobile phone) * - International Number

Emergency Contact (Other Phone) * - International Number

Emergency Contact (Email) * Opt in to emails

Medical Insurance Number *

MEDICATIONS: Please (a) list any medications that club staff should be made aware of and (b) the reason for said medications. This information will remain confidential between coach and athlete. Enter "None" if you are not currently on any medications. *

INJURIES: Please list any injuries that club staff should be aware of. Please also indicate the date of any recent injuries. This information will remain condential between coach and athlete. Enter "None" if there are no injuries. *

CHRONIC CONDITIONS: Please list any chronic conditions that club staff should be aware of (ie: Diabetes, Epilepsy, Heart Conditions, etc). This information will remain confidential between coach and athlete. Enter "None if there are no conditions to note. *

VOLUNTEERING: The Kajaks Family Volunteers and all annual athlete families are required to commit to a minimum of 30 hours of volunteer work to support club activities. A post-dated cheque for June 30th is due upon registration to secure this commitment. *

2023-2024 KajaksTFC Athlete Developme (14+) Membership

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