Name: Block 4 Ends – Morning – Period 1 – Afternoon – Period 3
Start: 2021-05-04T00:00:00-06:00
End: 2021-05-04T23:59:59-06:00

Please fill out the form below to apply for the Prairie South Personalized Sport Training program.

Please complete this program registration form in full.

As space is limited, the Personalized Sport Training committee will vet all registrations for acceptance into the program.
Your Name:*
First Last
Your Address:*
Street Address Address Line 2 City Province Postal Code
Date of Birth*
Enter in mm-dd-yyyy format
Date Format: MM slash DD slash YYYY
Full Name of Parent / Guardian:*
First Last
Phone Number (daytime):*
Enter your daytime phone number
Phone Number (cellular):
If you have a cellular phone number, enter it here
Your Email Address:*
Emergency Contact (other than parent):*
First Last
Grade you will be entering in the Fall semester:*
Enter the grade you will be entering in the Fall (September) semester