Alberta Northern Lights

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Alberta Northern Lights 2011-2012 Registration Form

Pricing Details

ANL Membership
None Selected	-
Athlete - Voting - $25	$ 25.00
Non-Athlete - Votin...	$ 10.00
Non-voting - $25 (f...	$ 25.00
ANL Programs
None Selected	-
Mini-lights (5-15yr...	$ 100.00
CWBL Elite - $100 (...	$ 100.00

$ 0.00 Total:

Alberta Northern Lights 2011-2012 Registration Form

Please complete the form below to sign up as a member and/or to sign up for specific Lights programs.

Inferno and WSA registrations are separate. These can be found under "documents"

You can pay online after filling in this form, or you can bring the outstanding amount in cash or cheque to the gym.

Full Name

Email Address:

Birth Date

Phone Number (home or cell – whichever you check most)

Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

Program Info

To find out more about ANL, Inferno & WSA programs click on “programs & fees” under “links” on the left of this page

ANL Programs

Mini-lights (5-15yrs) - $100 CWBL Elite - $100 (plus $150 assessment later if you fly to finals) Open Gym in Edmonton - Free Open Gym in Red Deer - Free

Permissions

Please contact me with opportunities to volunteer for a Casino or Bingo shift (In order to maintain current programming levels we would need one volunteer shift for each $100 program you sign up for)

I grant ANLWBS the right to use photos taken of my person for the sole perpose of promoting the sport

Payment Options

How would you like to pay:
I will make other arrangements for payment. If you wish to pay in person, bring cash or cheque (payable to "Alberta Northern Lights") to Yvonne Doll at the gym.
I would like to pay via PayPal. I understand I'll be taken to PayPal after I complete this form

or cancel