Participant Information

Participant's First Name *

Participant's Last Name *

Age at the start of the program *

This is my first Girls in the Game experience! *

T-Shirt size *

Participant's Medical Conditions

Parent/Guardian Name (First and Last) *

Postal Code *

Primary Phone Number *

PRIMARY Email Address (**all program correspondence will be sent to this address)

Secondary email Address

Emergency Contact

Emergency Contact Phone *

Special Requests or other Relevant Information

Winter 2025 Programs

Ringette [$175 includes T-shirt] **Registration fees will be collected at the start of the program. Apologies for any inconvenience.** 🛈

Ages 5-12: Sundays, 1:15-2:15, Jan 26- Mar 9 (No session Feb 16) at Clarence Mahon Arena

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 The names of participants will not be published.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: