Signup Form

Sign up for the 2009-2010 year!

Registration Process: Please print this page in its entirety and fill it out by hand before you begin typing it into the computer. We need lots of detailed and specific information that may not be readily available. This information will be used for our contact lists, as well as for emergency cards.

Please double check the accuracy before you send it, and PLEASE only send it ONCE.




Your First Name
Your Last Name
* Your Email Address
Your Home Phone Number
Your Mobile Phone Number
Grade (9, 10, 11 or 12)
Gender (M/F)
Street Address
City
Zip
Mother’s name
Mother’s e-mail address
Mother’s phone number
Father’s name
Father’s e-mail address
Father’s phone number
Advisor & Room Number
Emergency contact name
Emergency contact phone number
Any Allergies? (Y/N)
If yes, please explain
Medical Insurer
Medical Number
Doctor’s name
Doctor’s phone number
Shirt Size
Shoe Size
Other comments
* = Required Field