EUPA Train & Play
Date: December 10th, 2022
Ages: 13-17 years
Location: Foote Field (11601 68 Ave NW)
Time: 7:00 pm - 9:00 pm

Cost: FREE

No experience required!

All youth 12 years of age or older are required to show proof of vaccination in order to participate. If you have any questions please feel free to email youthdirector@eupa.ca.
Sign in to Google to save your progress. Learn more
Name of Participant
Date of Birth
MM
/
DD
/
YYYY
Address, City & Postal Code
a. Parent/Guardians Name
a. Parent/Guardian's Phone Number
a. Parent/Guardian's Email
b. Parent/Guardian's Name
b. Parent/Guardian's Phone Number
b. Parent/Guardian's Email
Have you received the COVID vaccine? Please bring proof of vaccination to the location to be verified by a EUPA staff member.
Clear selection
Is your child/player bringing any medication (antibiotics, ventilator, etc.) with him or her? If yes, please explain when & how it is to be administered.
Does your child/player have any physical, emotional, mental or behavioral concerns or limitations that we should be aware of? If yes, please explain.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Edmonton Ultimate Players Association. Report Abuse
Google Forms