Walk, Jog & Roll Season Pass 2024-2025

Are there any allergies, medical concerns, learning accommodations, or other accommodations the program instructor should be made aware of. If None, please type “None”

Please enter an emergency contact that can be called in the event of an emergency. If you are registering a child under the age of 18, please enter the parent/guardian information below. Please include their name, relationship to the participant and phone number. (Ex: Jane Doe, Grandmother, 204-111-1111)

By clicking this you agree to the City of Selkirk’s Program Registration Agreement & Informed Consent Agreement (viewable on our website).

Where applicable, I/we agree to allow the use my or my child’s photograph or likeness in any publication, videotape, pamphlet, social media or promotion while participating in City of Selkirk programs/classes for future advertising publications.