AHC Intro to Sport Registration Forms
Check out our different after-school sport programs running across the city! Please note the PLACE and type of program listed.
Which sport would you like to sign up for?
*
Boys Soccer (Ages 14-18) *Available on Monday (Central Lions Recreation Centre)
Multi-Sports Boys and Girls (Ages 8-13) *Available on Tuesday (Clareview Community Recreation Centre)
Hip Hop for Newcomers (Ages 13-17) *Available on Wednesdays (Commonwealth Community Recreation Centre)
Intro to Soccer Boys (Ages 8-13) *Available on Friday (Waiting List) (Clareview Community Recreation Centre)
Name
*
First Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
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June
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November
December
Month
Please select a day
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Day
Please select a year
2024
2023
2022
2021
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2019
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2015
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2012
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1920
Year
Gender
*
Please Select
Female
Male
Other
Prefer not to Say
Resident Status
*
Please Select
Canadian Citizen
Refugee Claimant
Permanent Resident
Work Visa
International Student Visa
PR/UCI #
*
Date of Arrival in Canada
*
-
Month
-
Day
Year
Date
Country of Origin
*
What is your native language?
*
Please Select
Amharic
Arabic
Dari
English
Chinese
Farsi
French
Hindi
Oromo
Pashto
Punjabi
Tagalog
Tigrinya
Somali
Vietnamese
Urdu
Other
Preferred official language
*
English
French
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
Do you consider yourself as Indigenous?
*
Yes
No
Do not wish to answer
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Permissions
Consent (Consent should be made by the parent/guardian If the participant is under 18 years old)
Protecting Personal Information
AHC is committed to safeguarding the personal information provided by our clients. The personal information that you provide is collected for AHC purposes such as; activity enrolment, emergency contacts, AHC program assessment, funding reports and quality enhancement. Your collected information is not intended to be shared outside AHC without first obtaining your consent, unless obliged or permitted by law to disclose it. AHC keeps your information confidential, your information will be treated with the utmost care and discarded appropriately.
Medical Information
Please note that it is your/parent/guardian’s responsibility to advise program staff of any medical and/or health /behaviour concerns of you/your child that may affect their participation in the stated program.
Alberta Health Number #
*
Please indicate any allergies, health concerns, etc related to participation in selected sport activity:
*
Yes
No
What allergies or health concerns would you like to disclose?
*
Photography & Media release
Photography & Media Release: I hereby give permission for me/my child/my projects/my child’s projects to be photographed/filmed by Action for Healthy Communities. I understand the photos/films will be used for promotion, public presentations, sharing purposes and/or reports to our donors and for promotional purposes including flyers, brochures, newspapers, websites, and social media. I understand that although my child’s photograph/film/projects may be used for advertising, I do not expect compensation and that all photos/film/projects are the property of AHC and its partners.
Consent (Consent should be made by the parent/guardian IF the participant is under 18 years old)
*
I give consent
I do not give consent
Informed consent and waiver
I acknowledge that I am aware of, and accept the inherent physical risks and the other possible risks, dangers, and hazards associated with being a participant. These risks include but are not limited to all manner of injuries, broken, damaged or lost belongings and transmission of diseases (including Covid-19) in various ways and types from contact with other participants. I understand that Action for Healthy Communities (AHC) (employees, facilitators, and volunteers) are not responsible for any injury, loss or damage of any kind sustained by participants during the program or after the program day has ended. For any youth that have wristbands to continue at the recreation centres after the program time has ended, I understand that AHC will no longer be responsible for their care or their actions and they will be expected to follow the recreation centre rules and regulations as mandated by the centre. I understand that the rules and regulations are designed for the safety and protection of participants and hereby agree to follow /inform (my child) of the importance of abiding by the rules and regulations set down by Action for Healthy Communities.
Signature
By signing this I declare that I've carefully read, understood and agreed to the contents of the above (The form should be signed by parent or guardian of the youth if the youth are under 18 years old).
*
Parent/Guardian's name (for youth under 18 years old).
Submit
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