Parent/Guardian Full Name *

Parent/Guardian Phone *

Parent/Guardian Email *

Fan The Flames 15U # of Athletes Registering?: *

1

2

3

Fan The Flames 15U Athlete Full Name #1 *

Fan The Flames 15U Date Of Birth #1 *

Fan The Flames 15U Athlete Email #1

I have read and agree with both the terms of the Media Consent & Waiver and the Release of Liability statement.

Sell Products *

Fan The Flames 15U x 1 Athlete

CA$200

Fan The Flames 15U x 2 Athletes

CA$400

Fan The Flames 15U x 3 Athletes

CA$600