Thank you for registering your child in the D.A.R.E. Sports Academy sponsored and operated by Corporate Sports Inc. Our coaches and staff are extremely enthusiastic about providing your child or children with fundamental concepts of Discipline, Attitude, Respect and Effort (DARE) through the spirit of sport. Below is a registration form that you must complete in full for each child. You may register online at www.corporatesportsinc.com and click on D.A.R.E. Ask us about our adult basketball, volleyball, and other programs. You can also mail the registration form to:

D.A.R.E. Academy c/o Corporate Sports Inc., 37-7340 Copenhagen Rd., Mississauga, Ont., L5N 2S5

Registration Form

Child's Full Name:      Phone Number:        Child's School:  

Male Female     Age:     Date of Birth (yyyy-mm-dd):

Address:                 City:     Postal Code:

Is this your child's first time playing basketball? Yes    No     If no, please describe prior experience:  

Choose a preferred day and time for basketball or indoor soccer:

(Please note: We will try our best yet cannot guarantee your preferred time as it is based on age and skill level)

Day: Sat. Sun.

Activity:
Indoor Soccer: 12:05 (Sat. only)
Basketball: 1:40-3:10 (Sat. or Sun)

Shirt size:   4    6    8    10    12    14    16    18   Adult:   M    L    XL

What other sports are you interested in for your child?  

Mother's name:     Cell #:    Email Address:  

Home Address (if different from child)                 City:     Postal Code:

Father's name:     Cell #:    Email Address:  

Home Address (if different from child)                 City:     Postal Code:

Who will be picking up your child regularly?   Mom only    Dad only    Mom or dad    Other
  
If other  Name:  Phone #:   Relationship:  

In case of emergency, who can we contact?

Name:    Cell #:    Relationship:  

Name:    Cell #:    Relationship:  

Your child's Health Card #:    Dr.'s Name:  

Dr.'s phone #:    Dr.'s address:  

Please indicate and medical conditions:    List any medications needed during program:  

Amount paid $   By: Cheque    Visa    M/C    Cash Card
Card #:     Expiry:   (mm/yy)   Name on Card:    Security:  

I fully understand that there are risks involved with my son’s or daughter’s participation in any Corporate Sports Inc. league, tournaments, camps, D.A.R.E. Sports Academy programs or other special events. I release and discharge Corporate Sports Inc., St. Famille Secondary School, Notre Place, Bball North and NCJInternational, all executives, staff, faculty, owners, board members, coaches, officials, coordinators and affiliates from all actions, suits, and demands whatsoever in law or in equity, including by not limited to the risk of injury from participating in Corporate Sports Inc. event, leagues, tournaments or programs and the risk of loss of personal property by theft or otherwise.

By checking the box you are hereby authorising D.A.R.E. to process payment and acknowledging the above statement.     Date: