Registration

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Last Name

Date of Birth

Gender

Relationship

Province

City

Street Name

House No / Apartment No

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Emergency Contact’s Name

Relationship

Phone Number

Doctor/Physician/Medical Care Facility

Does the learner have any allergies or medical conditions?

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Release of Liability Agreement

I agree to the terms and assume all risk of injury, illness, and/or damage. I waive the right to any claims.

Release of Liability Agreement

Parental Permission for Emergency Treatment

I give permission for emergency treatment by qualified medical personnel for my child.

Parental Permission for Emergency Treatment

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