Participant Information

First Name *

Last Name *

Participant age as at start of program *

Participant Year of Birth *

T-Shirt size *

Participant Medical Conditions *

Grade in School

Parent/Guardian Name (First and Last) *

Home Address *

City *

Province *

Postal Code *

Phone Number *

Family Email Address *

Emergency Contact *

Emergency Contact Phone *

Special Requests or other Relevant Information

Winter 2021 Programs

Ringette [$175 including t-shirt] 🛈

Ages 6-8: Thursdays, 6:00-7:00, Feb 11- March 18 at The Co-operators Centre/ Rink 5

Ages 9-11: Thursdays, 7:15-8:15, Feb 11- March 18 at The Co-operators Centre/ Rink 5

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

Ages 5-10: Saturdays 2:00-3:00, Feb 20- March 27 at Spirit of the Dragon 1210 Lorne St

[SOLD OUT] Rock Climbing [$175, includes t-shirt] 🛈

[SOLD OUT] Ages 8-11: Wednesdays 6:00- 7:00, Mar 3- April 7 at The Regina Rock Climbing Centre- 606B Solomon Cres

Permission/Liability Waiver/ COVID-19 Refund Policy

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 The names of participants will not be published.

COVID-19 Refund Policy *

Due to the COVID-19 pandemic, if programs need to be cancelled 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? *

Other:

To complete your registration, please select GST. *

Order Total + GST

To complete your registration, please select PST. *

Order Total + PST

Coupon Code