2024 Spring Teams - U11-U18 - Div. 1
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Parent First Name
Parent Last Name
Player First Name
Player Last Name
Email
Secondary Email
Player DOB
Mobile #
Home #
Address
Street Address
Address Line 2
City
Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Gender
Age Group
Please select
U11 (2013)
U12 (2012)
U13 (2011)
U14 (2010)
U15 (2009)
U16 (2008)
U17 (2007)
U18 (2006)
Which program are you registering for
Please select
Local Team
Travel Team
Preferred Position
Please select
Forward
Midfield
Defence
Goalie
Last Club Registered With
Allergies
Kit
Please select
Kit (+$75.00)
Jersey Size (if kit is purchased)
Please select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Shorts Size (if kit is purchased)
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Socks Size (if kit is purchased)
Please select
AXS (Youth Shoe Size 9-12)
AS (Youth Shoe Size 13 - Adult Shoe Size 4)
AM (Adult Shoe Size 5-8.5)
AL (Adult Shoe Size 9-13)
Additional Notes
Terms & Conditions
I have read and agreed to the
Player Code of Conduct
,
Parent Code of Conduct
,
Travel Policy
,
Travel Code of Conduct
,
Refund Policy
, and the
Photo/Video Policy
BC Soccer's Waiver
I have read and agreed to the
BC Soccer Waiver
Payment Detail
Fee
Please select
2024 Spring Local Teams - U11-U18 - Div. 1 ($650.00)
2024 Spring Travel Teams - U11-U18 - Div. 1 ($800.00)
Method of Payment
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Credit card
Etransfer
Card Holder Name
Card Number
Card CVV
Exp Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Exp Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Cheque File
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Please upload proof of Cheque.
E-Transfer File
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Please upload proof of E-Transfer.
Payment Schedule
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Donation :
$
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Addons :
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Due Now :
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