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

First Name *

Last Name *

Gender *

Male Female

Date of Birth (YYYY *-MM-DD)

/ /

Hometown *

Team

Canadian Citizen *

Yes No

Are you a member of SSC/SSNS or SSC/FPVQ for the 2021-22 or 2022-23 season ? *

Are you interested in billeting with a local family during the event? *

Do you plan to attend Saturday's dinner at Evan's? *

Division *

Category *

event T-shirt - youth

$15.00

QTY

event T-shirt - adult

$25.00

QTY

I have read and agree *
Risk and Indemnity

I have read and agree *
Multimedia Use

Canadian Roller Speed Championships