Extreme Riders Spring Break Single Day Registration
Level
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Please Select
Level 1
Level 2
Level 3
First Name of Adventurer
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Last Name of Adventurer
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Age
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E-mail
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First Name of Parent/Guardian
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Last Name of Parent/Guardian
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Telephone
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Emergency Contact
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Address
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City
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Province
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Country
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Care Card #
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Allergies, Health Concerns
Special Requests
Spring Break Camps
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March 8 2010
$60.00 CAD
$
60.00
CAD
March 9 2010
$60.00 CAD
$
60.00
CAD
March 10 2010
$60.00 CAD
$
60.00
CAD
March 11 2010
$60.00 CAD
$
60.00
CAD
March 12 2010
$60.00 CAD
$
60.00
CAD
Total
$0.00 CAD
$
0.00
CAD
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