Please provide the first name of at least one of the participant's parents.​​​​
Please provide the last name for the parent(s) listed above.​​​
Please provide a contact email for at least one of the participant's parents.​​

After you click submit on this form, you will be brought to a payment page to complete your payment.

If you have additional questions, please contact Canisius director of athletics Mr. Jim Mauro at

If there is any additional information we should know about this participant, please add it here.​​