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Combine

date: 17th Juin 2023
Time:9am-5pm

Camper name/Num du campure

Registration Form

Age/L'age

Gender/sexe

Address

paret name/num du parent

Phone/numero de tele

Province-zip/la province-code postal

Email

Emergency contact/contact d"urgence

Allergies or medical conditions/Allergies ou conditions médicales

30$

100$ if you need transporations and accommodation/100$ si tu as besoin d'un moyen de transport et d'un hébergement

Fo mr infos please contact me on:
(819) 201-3885 adminfatima@wc2psportsandacademics.com

Registration fees to be transferred to: wc2pbasketballpayments@yahoo.com

Thanks for submitting!

REGISTRATION FORM

2022-2023

Athletes Name

Date of Birth

Gender

Parents / Guardian Name

City

Home Phone

Postal Code

Mobile Phone

E-Mail

Allergies & Medical Conditions

Have you played rep basketball before? Y / N

Which position do you play?

Jersey Size: S / M / L / XL

Short Size: S / M / L / XL

Shoe Size:

Have you read the Program Letr int webite?

Thanks for submitting!

WC2P ACADEMICS AND SPORTS

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