Kenora Borealis Multisport Membership Renewal Form
It is  time to renew your Borealis Membership!  Upon payment of your membership you will receive your tickets for the Kenora Recreation Centre and MVMNT Yoga Studio
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Last Name *
First Name *
Mailing Address *
Email address *
Date of Birth *
MM
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DD
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YYYY
Contact Number (please include area code) *
Emergency Contact Person *
Emergency Contact Number (please include area code) *
Medical History/Allergies/Medications
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