top of page
Home
About
What You Will Learn
Community Partners
Contact
Register
More
Use tab to navigate through the menu items.
Team Unbreakable Registration Form
*
Youth First Name
*
Youth Last Name
*
Youth Email
*
Youth Date of Birth
*
Youth Mailing Address
*
Youth Cell Phone Number
Youth Home Phone Number
*
Adult Name 1
*
Adult 1 Relationship to Youth
Adult Mailing Address
Adult Cell Number
Adult Home Number
*
Adult Email Address
Anything we should know about the participant that could impact their participation?
Participating Adult Name
*
Will the youth require running shoes? (This option is only available to youth that do not have the ability to purchase running shoes.
No
Yes
If answered yes to the above question, what is the participants shoe size?
I am able to commit to 2 days a week (Tues/Thurs 5:30 PM - 6:30 PM) for the majority of the 12 week program
Yes
No
I am able to commit to 2 days a week (Tues/Thurs 530-630) for the majority of the 12 week program
Yes
No
During the running program dates will you be involved in any other organized sporting activity.
Yes
No
Shirt Size? (Youth Shirt Sizing)
S
Have you participated before?
No
Yes
Want to add a comment?
*
I hereby acknowledge that the registering youth is between the ages of 10 - 18, and is eligible to participate in Team Unbreakable
I agree
SUBMIT
Learn to Run Program 2025
Tuesday and Thursdays from 5:30 to 6:30
Kinsmen Northwood Centre (Youth Moves)
bottom of page
