2022/2023 QVSC Registration Form

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Welcome to QVSC! Please fill out the athlete information, emergency contact information, sign waiver, and see payment details. Please complete one form per athlete.

Note: Skier must be at least 5 years old by December 31, 2022 to register.

Last Name of Athlete *

First Name of Athlete *

Parent 1 - First Name & Last Name

Parent 1 - Phone Number #(xxx)xxx-xxxx

Parent 2 - First Name & Last Name

Parent 2 - Phone Number #(xxx)xxx-xxxx

Address *

City/Town *

Province *

Postal Code *

Email Address *

Home Phone Number #(xxx)xxx-xxxx

Skier's Date of Birth *

YYYY

Athlete's Gender

Female

Male

Prefer not to say

Clear selection

Athlete's Health Card Number *

Any medical conditions, medications or allergies that would be important for our coaches to be aware of the athlete. Note: If an athlete has any medical/physical condition, please notify the coaching staff at the start of the season.

Is this your first year with QVSC?

Yes

Clear selection

Clear form

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