2019-18 Physical Literacy After School Program Registration Form

Child Information

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* 1. Student-Athlete's Full Name

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* 2. What gender is your child?

female

male

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* 3. Date of Birth
(Year/MM/DD)

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* 4. What grade is your student-athlete going into?

1

2

3

4

5

6

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* 5. What School will your student-athlete be attending in 2019-20?

Abraar School

Fielding Dr. PS

Bayview PS

Holy Cross PS

Holy Family

General Vanier PS

Other Location (please specify)

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* 6. Parent/Guardian #1 Info- main contact

Full Name:

Relationship to Student-Athlete:

Email:

Cell #

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* 7. Parent/Guardian #2 Info- secondary contact

Full Name:

Relationship to Student-Athlete:

Email:

Cell #