RED Centre Athletic Development Facility Eligibility Form

This form is designed to help the RED Centre Athletic Development Facility confirm whether potential applicants meet the eligibility criteria for membership. To apply, individuals must be a PAC Old Scholar, a member of a PAOCA sporting club or a current PAC staff member. The form collects basic personal information and verifies your connection to the College community to ensure access is provided to those who meet our membership requirement

First Name Required	First Name, field is required
Last Name Required	Last Name, field is required
Birthday Required	Month:, field is requiredDay:Year:
Primary Phone Required	, field is required
Email Required	Email, field is required
Eligibility ID Required	Eligibility ID, field is required, to switch between list items use arrow buttons.
PAC Old Collegians graduation year	PAC Old Collegians graduation year
PAOCA Club Association	PAOCA Club Association
First Emergency Contact Required	First Emergency Contact, field is required
First Contact Phone Required	, field is required