Club Registration | Norwood Community Centre

Playgroup

$5.00

Wanting to see what it is all about? Have a guest visiting that you want to bring just 1 time?

Drop in for a day for $5

Do not add multiple attendees as you will be charged for each one.

First Name

Last Name

Date of Birth (DD/MM/YYYY)

For Team Sports

While every effort will be made to keep your information private, we cannot guarantee security.

Allergies

Asthma

Carries Epi-pen

Dietary Concerns

Other Medical Conditions

Requires Inhaler

Health Information Details

If you checked any of the boxes above, please provide more detailed information.

First Name

Last Name

Address

City

Canadian Province

Postal Code

Email Address

Phone (Day)

Phone (Evening)

Phone (Cell)

I would like to Coach/Assist/Manage