Client Registration

Reject Reason:

All fields marked with are required.

Login Information

Username:

User ID must have minimum 6 characters in combination of alpha and numeric.

Password: Re-type Password:

The password is case sensitive and must be: minimum 8 characters in length - NOT containing any spaces

Step 2: Registrant

First Name

Last Name

Email Address

Re-type Email Address

Phone:
- -

Address

City

Postal Code/Zip Code

How many days per week are you currently active? -- select an option -- 1 day 2 day 3 day 4 day 5 day 6 day 7 day

On average, how many minutes per day are you currently active? -- select an option -- 15-30 minutes 1 hour 2 hours 3 hours or more

On average, how many times per week are you involved in moderate to vigorous activity such as running, aerobics classes, sports? -- select an option -- Once or less 2-3 times 4 times or more

How you learned about the Program?

Referal from Physician:

Referal from other Health-Care provider:

Social Media:

Newspaper:

Friend or Relative:

Other

Would you like to receive our on-line support with regular tips and information about how to get started and stay active. Yes
No

Would you like to take an orientation class of 90 mins with a trained professional who will help guide you to the right form of facility or program (a fee of $10.00 applies).
You will be contacted about the schedule of classes offered. Yes

Mission Statement: The Mission of Sport Aurora is to promote participation in sport and recreation for all citizens of the community we serve. Vision Statement: Sport Aurora is committed to be a progressive, dynamic leadership team promoting quality sport and recreation. Our Beliefs: Working together for the common good of sport. Providing sport opportunities for all. Demonstrating honesty, integrity and respect in our roles as community leaders in sport. Promoting the benefits of sport participation for all. Ensuring a safe, healthy, friendly and fun environment for all in sport Respecting all participants equally from the playground to the podium Encouraging fair play and adhering to the spirit of the rules Providing strong leadership support for our local sport organizations Recognizing the importance of volunteers’ contribution to sport Celebrating participation successes and expertise Working in partnerships and sharing resources and expertise both internally and externally. Recruiting, developing, retaining and recognizing competent, ethical and certified coaches and officials. A Member of VICommunity www.vicommunity.com, Powered by QC Technologies Inc., www.qcti.net