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2019-18 Physical Literacy After School Program Registration Form
Child Information
*
1.
Student-Athlete's Full Name
(Required.)
*
2.
What gender is your child?
(Required.)
female
male
*
3.
Date of Birth
(Year/MM/DD)
(Required.)
*
4.
What grade is your student-athlete going into?
(Required.)
1
2
3
4
5
6
*
5.
What School will your student-athlete be attending in 2019-20?
(Required.)
Abraar School
Fielding Dr. PS
Bayview PS
Holy Cross PS
Holy Family
General Vanier PS
Other Location (please specify)
*
6.
Parent/Guardian #1 Info-
main contact
(Required.)
Full Name:
Relationship to Student-Athlete:
Email:
Cell #
*
7.
Parent/Guardian #2 Info-
secondary contact
(Required.)
Full Name:
Relationship to Student-Athlete:
Email:
Cell #
