2023 U18 Dragon Boat Development Program
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Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent E-Mail *
Parent/Guardian Phone Number *
How did you hear about this program? *
PARTICIPANT INFORMATION
Participants First Name: *
Participants Last Name: *
Participants Date of Birth: *
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Age of participant: *
Gender:
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Please indicate any paddling experience (no paddling experience is required).
Please indicate swimming ability (most recent swimming certification):
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Swimming Ability: If "Other" Please Provide (Certifying Body and Level)
Please list any of the participants allergies: 
Is the participant on any medications? Please list the medication and frequency:
Does the participant have any past medical history we should be aware of? Or any risk factors we should be aware of?
Billing Address (Number Street, City, Province, Postal Code)
Payment through Email Money Transfer (EMT): The program requires a 25% deposit upon registration and the remaining on the first day of the session.   Please send your EMT payment of $126.25 to "payments@sunnysidepc.ca" along with your Childs' name.  A receipt and email confirmation will be provided once payment is received. Full refunds will be given back within 30 days of registration. If we are unable to run the program due to low registration a refund will be given back minus a $3 administrative fee. 
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