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 13 & Up)
Intro to Soccer Boys (Ages 8-12) Thursdays 3:45-5:45pm @ Clareview Community Recreation Centre
Intro to Soccer Boys (Ages 8-12) Fridays 4:00-5:45pm @ Clareview Community Recreation Centre
Intro to Soccer Girls (Ages 13-17) Tuesdays 3:45-5:45pm @ Clareview Community Recreation Centre
Girls Multisport Camp (Ages 8-15) Tuesdays 4-5:30 @ Meadows Community Recreation Centre
Girls Multisport Camp (Ages 8-12) Mondays 3:45-4:45pm @ Clareview Community Recreation Centre
Girls Multisport Camp (Ages 13-17) Mondays 4:45-5:45 @ Clareview Community Recreation Centre
Rhythmic Gymnastics for Girls (Ages 8-12) Friday's 4:30-5:30 @ Meadows Community Recreation Centre
Name
*
First Name
Last Name
Date of Birth
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
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
Ahmaric
Arabic
Dari
English
Chinese
Farsi
French
Hindi
Oromo
Pashto
Punjabi
Tagalog
Tigrinya
Somali
Vietnamese
Urdu
Other
Do you speak any other languages other than your native language and English?
*
Yes
No
What other languages do you speak?
*
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
Back
Next
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 Insurance #
*
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).
*
Clear
Parent/Guardian's name (for youth under 18 years old).
Submit
Should be Empty: