EKDC - Edmonton Kinsmen Diving Club

EDMONTON KINSMEN DIVING CLUB - Phone: 436-4249

Talent ID

Below you will find information about the fees, dates, times and registration form for our sessions. Please review this information and if you have any questions include them at the bottom of this form in the comments space provided.

Please fill out all the information on this form and hit "Submit". A member of our club will contact you to confirm your application.

At the first class:

EKDC requires applicant's Alberta Health Care Card and forms will have to read and signed.
You will be required to sign-up for your bingo commitment. Bingo dates, times and locations.
Registration payment and a fundraising commitment cheque.

Registration Form

Divers Name
Parents Name
Address
Home Phone
Work Phone
Email
DOB (mm/dd/yyyy)
Gender

Have you completed a Learn To Dive class in the past?
Have you completed a gymnastics class in the past?
How You Heard About Our Program
Diving Level (1=lowest)	1 2 3 4 5
Are you returning to EKDC?