Child’s Full Name *

Email *

Medical Conditions/Allergies *

Child’s Age *

Additional Information

Parent Contact Name *

Social Media Consent *

Would you be comfortable with your child being included on Active Islanders Social Media?

Phone *

Grade Level Entering 2024-2025 School Year(Only for West Kent/West Royalty Active Islanders After School Participants)

If the product you have selected is "sold out" would you like to be added to a waitlist?

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Registrations will be considered complete when the payment process is completed(payment options located above this form) Please ensure the event you’re interested in is available for purchase and not “Sold Out”. If the event is sold out, you may inquire within to be added to a waitlist. If you would like to make alternative payment arrangements(Example: Etransfer or Cash Payment) please reach out to us at activeislanderspei@gmail.com or (902) 830-7159

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Have a great day!

Participant Information Form

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