Adriatico Aquatic > Registration form

Registration form

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Player's Name (required)

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Last

Email (required)

Gender (required)

Address Line 1 (required)

Adress Line 2

City (required)

Province (required)

Postal Code (required)

Phone (required)

Birth Date (required)

(for players 16 & under)

Health Postal (required)

Parent 1

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Last

Parent 2

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Last

Allergies or Health Conditions

Program:

SWIM & POLO (Ages 5+) ROSEDALE HEIGHTS Saturday 5:00PM - 6:00PM Sunday 1:00PM - 2:00PM
DEVELOPMENT (U12)-ROSEDALE HEIGHTD - Saturday 5:00pm - 6:00pm Sunday 1:00PM - 2:00PM
WATER POLO (12+) - ROSEDALE HEIGHTS - Saturday 5:00 pm - 6:00 pm Sunday 1:00PM - 2:00PM
FREE INTRO SESSION

All members MUST read and understand all relevant forms linked below.

By submitting this form I confirm I have read all relavent documents.