Participant's First Name
Participant's Last Name
Participant's Medical Conditions
Parent/Guardian Name (First and Last)
Email Address (**all program correspondence will be sent to this address)
Emergency Contact Phone
Special Requests or other Relevant Information
FALL 2022 Programs
Multi-Sport: Rugby/ Soccer [$175- includes T-shirt]
Ages 5-12: Tuesdays 6:00-7:00, Oct 4 - Nov 8 @ Wilfred Walker School
Pickleball [$175, includes T-shirt]
Ages 7-12: Wednesdays 6:00-7:00, Sept 28 - Nov 2 @ Queen City Pickleball Hub
Martial Arts [$175, includes T-shirt]
Ages 5-12, Saturdays 3:00-4:00, Oct 15 - Nov 20 @ Spirit of the Dragon
Permission/Liability Waiver/ COVID-19 Refund Policy
Girls in the Game 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.
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.
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 The names of participants will not be published.
COVID-19 Refund Policy
Due to the COVID-19 pandemic, if programs need to be cancelled or changed due to changing SHA public health orders, full refunds will be offered if cancellations occur before the start of any programs. If cancellations occur after programs have started, refunds will be offered on a pro-rated basis. By checking the box, you have acknowledged that you have read and understand our cancellation policy due to COVID-19.
How did you hear about our program?
I'm a previous participant!
Billboard - Walmart North
Billboard - Arcola East
Billboard - Other
Poster - please indicate location
Poster - Sandra Schmirler
Metro News Ad
Captive Audience poster
Regina Flag Football
Other - please specify
To complete your registration, please select GST