Active For Life Super Max-Pac

Active For Life Form (Super Max-Pac)

To play unlimited times in our Active For Life venues, and Winnipeg & District League of the current season please register below. The payment is for the whole season.

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Your Name(Required)

First Last

Date of Birth(Required)

Your Address

Street Address Address Line 2 City Province Postal Code

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)