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RECREATION & ATHLETIC SERVICES FACULTY OF KINESIOLOGY & HEALTH STUDIES
 

Summary: RECREATION & ATHLETIC SERVICES
FACULTY OF KINESIOLOGY & HEALTH STUDIES
REGISTRATION FORM
Date: _____ / _____ / 20____
(DD) (MM)
Last Name: First Name: Birth Date: (dd-mm-yyyy) Grade: Male Female
Street Address: City: Province: Postal Code:
Home Phone: Work Phone: Cell Phone: Email Address:
Parent/Guardian Name: * Parent/Guardian Birthdate (dd-mm-yyyy):*
Emergency Information: (If different than above) Name: Relationship to Child: Phone / Cell:
T-Shirt Size (Summer Sports School & Cougar Athletic Camps where included)
YS - YM - YL - YXL - AS AM - AL - AXL
* The parent/guardian name and birth date is required to set up the family account and so as not to duplicate accounts. Please include birthdates for all members of an account.*
CRN (s) Program Title Program Dates Course Total
$
$
$
$
$
$

  

Source: Argerami, Martin - Department of Mathematics and Statistics, University of Regina

 

Collections: Mathematics