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Executive/Director/Non Skating Member
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Male or Female
*
Male
Female
Are you transferring from another Skate Canada Club
*
Yes
No
If transferring what was your previous home Club?
Your answer
Skate Canada Number (if you know it)
Your answer
Birthday
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Preferred Phone Number
*
Your answer
Parent /Guardian Names if under 18
Your answer
Emergency Contact Info (name, number, etc...)
Your answer
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