Soccer Kids Registration - International Soccer Club Est. 2007

About Player
Returning Player*
- Yes
- No
Player Name*
Player First Name Player Last Name
Date Of Birth
Player 1 DOB Day*
Player 1 DOB Month*
Player 1 DOB Year*
Player Gender*
Skill*
We need to evenly spread players from every skill level onto each team. We strive to balance the strength of all teams to create a challenging & enjoyable environment. Please be realistic in choosing the following:
Comments

Payment
Subtotal Single Player Same Team
Price: $0.00
HST Single Player Same Team
Price: $0.00
Total
Price: $0.00
HST included
Type of Credit Card*
Name on Card*
Card # (leave no spaces)*
CVD # (on back of card)*
Expiry Month*
Expiry Year*
Coupon
Consent One*
- I agree with the Terms and Conditions of the Waiver of Liability & Refund Policy*
Consent Two*
- I confirm that My Name Typed on the Registration Form is my Electronic Signature Accepting the Waiver of Liability and Refund Policy.
Newsletter Consent*
- Sign up for our occasional newsletter

Register