Fearless Physical Activity registration

Please complete information below to register for a Fearless Physical Activity event.

First Name *

Enter the first name of the individual with CHD.

Last Name *

Enter the last name of the individual with CHD

Email address *

Address

City *

Province *

Postal code *

Additional family members *

Yes

Are any other family members attending the event with you?

How many attending

Location *

Age (London) *

London Child Events *

London Youth Events *

London Adult Events *

Age (Ottawa) *

Ottawa Child Events *

Ottawa Youth Events *

Ottawa Adult Events *

Age (Sudbury) *

Sudbury Child Events *

Sudbury Youth Events *

Sudbury Adult Events *

Age (Thunder Bay) *

Thunder Bay Child Events *

Thunder Bay Youth Events *

Thunder Bay Adult Events *

Age (Toronto) *

Toronto Child Events *

Toronto Youth Events *

Toronto Adult Events *

Restrictions

List any restrictions or limitations

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Upcoming