ParaSport & Recreation PEI

Prince Edward Island

  • Sports & Programs
    • Boccia
    • Sledge Hockey/CanSkate Sledge
    • Swimming
    • Wheelchair Basketball
    • Wheelchair Rugby
    • Para-Cycling
    • Curling
    • Equipment Loan Program
    • Other Programs
  • News+ Events
    • Events Calendar
    • Newsletters
  • Get Involved
    • As a Participant or an Athlete
      • Membership Registration
    • As a Volunteer or Coach
      • Volunteer/Coach Registration
    • As an Associate Member
  • Return To Play
  • 2021 Strategic Plan
  • About Us
    • Who We Are
    • Our Staff
    • Board of Directors
    • Associate Members
    • Contact Us

Program and Membership

2022 Registration Form

"*" indicates required fields

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Programs registered
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Money received from

Personal Information

Name*
Date of Birth*
Address*

Emergency Contact Information

Name*

Medical Information

Doctor's Name*
Do you have a physical disability?*
Do you have a visual disability?*
Do you have an intellectual disability?*
Do you have any existing medical conditions (e.g. asthma, heart conditions, high BP)?*
Do you have any allergies?*
Photo Release Consent*
ParaSport and Recreation PEI may take photographs or videos of participant to publish on ParaSport and Recreation PEI’s website, newsletters, newspapers, or social media. By ACCEPTING these terms and conditions in its entirety, you give permission for you/your child to be included in these photographs/videos and agree that you have read and understand the policy. I authorize ParaSport and Recreation PEI to take and use any photos and/or videos taken of me/my child during their programs or events.
Terms and Conditions*
Date Signed*
General Membership Fee*
What program are you joining (select all that apply)?*
Payment Method*
Please EMT to:
[email protected]
Please Make Cash/Cheque Payble To:
ParaSport and Recreation PEI
40 Enman Crescent, Room 123
Charlottetown, PEI
C1E 1E6

Upcoming Events

Jan
29
Sun
9:00 am PEI Mustangs Senior Wheelchair B... @ Town of Stratford
PEI Mustangs Senior Wheelchair B... @ Town of Stratford
Jan 29 @ 9:00 am – 10:30 am
 
1:00 pm Junior Wheelchair Basketball Pro... @ West Royalty Community Center
Junior Wheelchair Basketball Pro... @ West Royalty Community Center
Jan 29 @ 1:00 pm – 2:00 pm
 
Jan
30
Mon
7:15 pm Parafit @ Bell Aliant Centre
Parafit @ Bell Aliant Centre
Jan 30 @ 7:15 pm – 8:15 pm
 
Feb
5
Sun
9:00 am PEI Mustangs Senior Wheelchair B... @ Town of Stratford
PEI Mustangs Senior Wheelchair B... @ Town of Stratford
Feb 5 @ 9:00 am – 10:30 am
 
1:00 pm Junior Wheelchair Basketball Pro... @ West Royalty Community Center
Junior Wheelchair Basketball Pro... @ West Royalty Community Center
Feb 5 @ 1:00 pm – 2:00 pm
 
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