Fusion Football Club

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

Postal Code

Player Gender

Age Group

Preferred Position

Current Club

Allergies

Additional Notes

Kit

Jersey Size (if kit is purchased)

Shorts Size (if kit is purchased)

Sock Size (if kit is purchased)

Terms & Conditions

I have read and agreed to the Player Code of Conduct, Parent Code of Conduct, Refund Policy, and the Photo/Video Policy

BC Soccer's Waiver

I have read and agreed to the BC Soccer Waiver

Fee

Method of Payment

Total Due : $0.00

Donation : $0.00

Addons : $0.00

Due Now : $0.00

2024/25 Fall/Winter Skill Centre