Emmanuel Baptist Church - Oshawa

LITE Sports Registration

• • Name of participant*
    Please use one form per participant.
    First Name

    Last Name
  • Grade
    This is the grade your child is in currently.
    Grade Five

    Grade Six

    Grade Seven

    Grade Eight

    Grade Nine

    Grade Ten

    Volunteer
  • Date of Birth
    MM

    DD

    YYYY
  • Phone Number*
    Please enter the Parent or Guardian phone number here.
     

    (###)

    -

    ###

    -

    ####
  • Alternate Number
    This can be either the second Parent or the participant. A third number can be entered in the Address Line 2 field below.
     

    (###)

    -

    ###

    -

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  • Address
    Street Address

    Address Line 2

    City

    Province / State / Region

    Postal Code / Zip

    Antigua and BarbudaBahamasBarbadosBelizeCanadaCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColumbiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGuineaGuinea-BissauCôte d\'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe

    Country
  • Parent E-mail
     
  • Alternate E-mail
    This can be the other Parent or the participant. Please note that the Parent will be copied on all emails to the participant. Usually these are reminders for upcoming events, or to hand in Community Service hour forms for school.
     
  • Name of Parent or Guardian*
    First Name

    Last Name
  • Shirt Size (Adult Sizes)
    Small

    Medium

    Large

    X Large

    XX Large
  • I give permission for my child to participate in the clubs sponsored by Emmanuel Baptist Church Oshawa Inc. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Emmanuel Baptist Church or any of its leaders, coaches, assistants or volunteers liable for damages, injuries or loss incurred.
    Yes I agree.
  • We make every effort to take a Club Photo and have that printed and available to you on the last day. Do we have your permission to take photos of your child for this purpose and to possibly have them on our website? (If no, then please make sure your child does not go with the group on Photo Day. We will announce this day for you).
    Yes

    No
  • EBC runs family programing all year long! Do we have your permission to contact you about upcoming events for all ages?
    Yes

    No
  • How did you hear about LITE Sports?
    Flyer from School.

    A friend.

    Through another program at EBC.

    Other.
  • School Attending
    Please tell us what school your child attends. This helps us decide where to target our programs.
    College Hill Public School

    Glen Street Public School

    Cannon Public School

    Lake Woods Public School

    Bobby Orr Public School

    G.L. Roberts C.V.I.

    Other
  • Preferred Activities
    Check all of the activities that are of interest to the participant. Whichever activities have the most interest, will be the ones we start with!
    Ball Hockey

    Basketball

    Volleyball

    Soccer

    Ultimate Frisbee

    Flag Football

    Soccer Baseball

    Tin Can Cricket
• 
  Submit