Buffalo Canoe Club Junior Activities

REGISTRATION FORM

Our printable registration form will be available in early 2010 or you can register with the on-line form below.

Complete one form per person per class. If you or your child is attending more then one program, please complete another form for him/her or yourself. Please note the restrictions on dates and minimums under the class descriptions on this site. If you enter an invalid date/time your registration will not be accepted. Non-members will be charged an additonal 20%

*Member Number (non-mbr enter n/a and provide credit card payment below) *Member's First and Last Name *Childs First and Last Name *Childs Age & Date of Birth *Please select the program *Please provide the dates you wish to register for and note any class restrictions to ensure your registration is valid, ie, 2 week minimums and specific dates. *Do you or your child have any allergies or medical conditions? Non member must provide a Visa/MC with expiry date *Non-Members please provide your address and home phone number (enter N/A if a member) *Emergency Contact Name and phone number *You MUST provide your Insurance Provider and Policy # or Health Card # *Please provide your email address for confirmation and info/parent package

You must be 18 years of age or older to register in any of our programs or are the parent/legal guardian of a child participating in our programs. I recognize that sports can be dangerous and assume all risk of injury, loss or damage to my person and/or property while upon the property or vessels owned, leased and/or under the care and control of the Buffalo Canoe Club, its servants and/or agents. Furthermore, neither I nor any other person under my authority/supervison shall have any right nor claim againt the Buffalo Canoe Club, its servants and/or agents. I understand that photographs and video may be taken of participants for promotional purposes and I hereby consent to such use by the Buffalo Canoe Club.

*I agree to the terms and conditions.
I agree
Cancellation & Amendment Policy: A $50.00 fee will apply for any cancellations or changes that are received. There are NO REFUNDS OR SCHEDULE CHANGES 7 days prior or less then 7 days prior to the course start date. In the event you or your child is ill, no refunds or make-up days can be made. For full session rates, you must sign up for all 4 weeks in that session, otherwise, the weekly rate is applied.*I agree to the Cancellation/Amendment Policy
I agree