Required fields are marked with asterisks (*)

Profile number request for online registration

Profile numbers will be issued within 24 hours. Each member of your family will be assigned a different number. If you are a Dieppe resident, go to the Aquatic and Sports Centre (111 Aquatique Street) or City Hall (333 Acadie Avenue) to show your proof of residency after receiving your profile number. You must complete this step before you can register online for the first time. If you have any questions regarding your application, call the Aquatic and Sports Centre at 506.877.7881.

Your first name

Your last name

Your date of birth

Primary phone number

Other phone number

Address

Apartment number

Street number

Street name

City

Province

Postal code

Preferred language

French

English

Describe any health or medical conditions directly relevant to your ability to participate in our programs.

Would you like to request profile numbers for your children or dependants?

Yes