Adult #1*

Adult #2

Children (names and year of birth)

Address 1*

Address 2

Postal code*

Email address*

Phone number*

Additional information/questions

Do you require skate tags?
YesNo

How would you like to pay for your membership ($25)?*
ChequeCash
If you would like to pay by credit card, please purchase your membership through the EFCL website. *please note, an addition $5 fee is added online.

Fields marked with an asterisk (*) are required.