ParaSport & Recreation PEI

Prince Edward Island

  • Sports
    • Boccia
    • Sledge Hockey/CanSkate Sledge
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    • Wheelchair Rugby
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    • Curling
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      • Equipment Loan
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Program and Membership

Registration Form

"*" indicates required fields

Personal Information

Name*
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*
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

Jul
9
Sat
9:30 am Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Jul 9 @ 9:30 am – 10:30 am
 
Jul
16
Sat
9:30 am Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Jul 16 @ 9:30 am – 10:30 am
 
Jul
23
Sat
9:30 am Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Jul 23 @ 9:30 am – 10:30 am
 
Jul
30
Sat
9:30 am Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Jul 30 @ 9:30 am – 10:30 am
 
Aug
6
Sat
9:30 am Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Adult Fitness Program (In person) @ Synergy Fitness & Nutrition - The Mount
Aug 6 @ 9:30 am – 10:30 am
 
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