REGISTRATION

Personal Information

Full Name of Applicant*

Full Name of Child (if registering on behalf of them)

Applicant Date of Birth*

Address

Street Address Address Line 2 City Province Postal Code

Phone Number*

Email Address*

Program-Specific Information

Program Name*

Session Dates/Times*

Time

Program Location*

Previous Experience

Special Requirements

Consent to Photo*

Yes

By checking the "Yes" box, you consent to the use of photos or videos taken during the program/event.

Emergency Contact Information

Emergency Contact Name*

Relationship to Participant*

Emergency Contact Phone Number*

Alternative Emergency Contact

Medical Information (if applicable)

Allergies

Current Medications

Medical Conditions

Payment Information

Registration Option*

Toddler Shenanigans St. Pierre ( Drop-in ) $Free

Coupon

Total

Payment Method*

E-transfer

E-Transfer to occur upon submission of the registration form. E-transfer can be sent to hello@ratriverrecreation.com. Payment must be sent before successfully being registered.

Payment*

Confirmation

Signature*

Date*

Comments

This field is for validation purposes and should be left unchanged.

RECREATION

PARKS & FACILITIES

NEWS & BLOGS

GALLERY

VOLUNTEER