Participant Information

Participant's First Name *

Participant's Last Name *

Age at the start of the program *

T-Shirt size

Is this your first Girls in the Game experience? *

Participant's Medical Conditions

Parent/Guardian Name (First and Last) *

Phone Number *

Postal Code *

Primary Email *

Primary Email Confirmation *

Secondary Email address (optional)

Emergency Contact *

Emergency Contact Phone *

Special Requests or other Relevant Information

FALL 2024 Programs

Pickleball [$175, includes T-shirt] 🛈

Ages 7-12: Wednesdays from 6:00-7:00, Sept 18-Oct 23 @ Queen City Pickleball Hub

**NEW** Yoga [$175, includes T-shirt] 🛈

Ages 8-12: Wednesdays @ 6:00-7:00, Oct 9-30 & Nov 6 @ The Regina Floral Conservatory

Martial Arts [$175, includes T-shirt] 🛈

Ages 5-12, Saturdays from 3:00-4:00, Oct 19- Nov 30 (No session Nov 9) @ Spirit of the Dragon

Permission/Liability Waiver

Girls in the Game Permission/Liability Waiver

Permission/Liability Waiver *

By checking this box, I am acknowledging to have read the Girls in the Game Permission/Liability Waiver and am in agreement with its terms and conditions.

Email Consent *

By checking this box, I am consenting to receive emails from Girls in the Game and ICANPLAY Sports with my program information and about upcoming programs.

Photograph Permission

By checking this box, I am giving permission to Girls in the Game to take photographs of my participant for promotional and website use. The names of participants will not be published.

How did you hear about our program? *

Other:

To complete your registration, please select GST *

GST

Coupon Code