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Burnaby Bears Field Hockey Club - 2017/2018 Women's Season Registration
Vancouver Women's Field Hockey Association - Div 3 & Div 4 Teams
The season will run from September until March with practice once per week, and games once per week. Schedule TBD.

To be eligible athletes must be born in at least 2004.

Registration Information
First Name *
Your answer
Last Name *
Your answer
Parent/Guardian 1
Your answer
Parent Guardian 2
Your answer
Email 1 *
Your answer
Email 2
Your answer
Email 3
Your answer
Phone Number 1 *
Your answer
Phone Number 2
Your answer
Suite
Your answer
Address *
Your answer
Postal Code *
Your answer
City *
Province *
Work Address (answer if you work in Burnaby, but do not live in Burnaby)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Medical Concerns (enter None if no concerns) *
Your answer
Field Hockey BC Membership (mandatory)
Register with Field Hockey BC to get your Membership Number before you complete this registration:

https://www.fieldhockeybc.ca/fhbc/membership.php

Field Hockey BC Membership Number *
Your answer
Photo Release
Permission to use athlete photograph for Club Website, Social Media, Promotions *
Uniform Order Placement
Jerseys - $40
Socks - $10

Please note that these jerseys do fit small when making your order.

These jerseys are the same ones worn in the Spring 2017 season.

Mail your cheque to:

Burnaby Bears Field Hockey Club
5582 Forglen Drive
Burnaby, BC
V5H 3L1

Jersey Sizing - Part 1 *
Jersey Sizing - Part 2 *
Socks *
Registration Payment Information - $195
Mail your registration cheque to:

Burnaby Bears Field Hockey Club
5582 Forglen Drive
Burnaby, BC
V5H 3L1

Supporting Our Club
Burnaby Bears Field Hockey Club is an incorporated Society under the British Columbia Society Act. We are very grateful for any additional support you may choose to provide us.
Would you like to volunteer?
Would you like to Make a Donation? (Note: we are not a Registered Charity and therefore cannot tax receipts for any donations)
How did you hear about us? *
Your answer
Contact Us
Email: burnabybears@gmail.com

Website: https://www.burnabybearsfieldhockey.com

Facebook: https://www.facebook.com/burnabybearsfhc

Instagram: burnabybearsfhc Twitter: burnabybearsfhc Snapchat: burnabybearsfhc

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