Alberta Provincial Championships (APC) - 2025

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Individual registration and health form

individual Insurance Waiver

Cardel Rules each player must follow

To register with Alberta 55 +

Request to be put on spare list

Provincial Championship Player registration and Health Form

Participants Name *

Email address *

Telephone *

Address *

City *

Province *

Team *

Emergency Information

Medical Card Number *

Family Doctor *

Doctor's Phone Number *

Medical Condition (eg. Diabetes, heart) *

Date of Birth (yyyy-mm-dd) *

Medication, prescribed only *

Allergies *

Emergency Contacts

Emergency Contact Name *

Contact Phone Number *

Relationship *

Participant's Name *

Acknowledgement *

By submission of this form, I acknowledge that the information on this form is accurate. I am aware that anyone submitting a false or misleading document may be subject to disciplinary action, which may result in suspension from this or future tournaments.

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Alberta Provincial Championships (APC) - 2025

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