youth membership -

U-18 Form

Primary Member First name

Primary Member Last name

Phone

Primary Member Email

Date of birth

Age

Which city in the Edmonton region do you live in?

Address

Parent/Guardian Information

Relationship to Youth

Parent/Guardian Email

Parent/Guardian phone (primary)

Emergency Contact Person (Full Name)

Emergency Contact Phone Number

Relationship to Youth

upload Parent/Guardian digital signature (upload jpg, png, pdf, jpeg)

13–15 age must be Accompanied by a Parent.