Kids Night Out Registration!

Child Name(required)

Age(required)

M/F(required)

Birthdate(required)

Parent(s) Name:(required)

Phone Number(required)

Address(required)

Emergency Contact Name(required)

Emergency Contact number(required)

Allergies or Health Conditions (enter N/A if none)(required)

E-mail address(required)

OHIP Number

I understand that by hitting submit, I am registering for the above mentioned camp with LifeFit Athletics. An invoice will be sent with payment instructions for e-transfer, cash, debit, credit or cheque. (required) Agree and will pay invoice

I give LifeFit Athletics permission to contact me via e-mail with news of upcoming events and discount promotions.

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