Registration Form

id

time_date

Diver Last Name

Diver First Name

Session

Diver Date of Birth

Diver Gender

Female

Male

Address

City/Town

Postal Code

Parent / Guardian's name

Parent / Guardian 2's Name

Phone#

Email Address

Program

Night Preference

Monday

Wednesday 6 pm

Wednesday 7 pm

Thursday

Photo Consent

Yes

No

Freedom of Information Consent: I/we give permission to the Lethbridge Diving Club to use any information received at registration for Lethbridge Diving Club purposes only.

Information Consent

Yes

No

Code of Conduct: The Lethbridge Diving Club has established rules for participation and conduct on and about the diving area in order to protect the safety of the divers, coaches, and observers. This checkbox acknowledges that all participants and parents agree to follow these rules.

Code of Conduct

Yes

No

Waiver: It is clearly understood that the Lethbridge Diving Club and/or its Board of Directors will not be held responsible for any accident or loss, however caused, and that the applicant agrees to release the said club, its Board and the proprietors from all liability, claims and damages which may arise as a result of, or by reason of, such accident or loss.

Waiver

Yes

No

How Did You Find Out About Us?

Upon submitting this form, you will be taken to our Bingo Registration area to sign up for the bingo's that you will be required to work in order to support the club.

Each family is required to work 3 bingo's per diver for children who dive one night per week and 5 bingo's per diver for children who dive two nights per week.

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