2019 Soccer Registration
Please Fill in all Fields PAYMENT MUST BE MADE BY CASH OR CHEQUE ON REGISTRATION NIGHTS
Your child is not registered until this form is completed and payment is received by Fairview Minor Soccer Club
PLEASE MAKE CHEQUES PAYABLE TO FAIRVIEW MINOR SOCCER CLUB

U5. 2014/2015. $50.00. Tuesday & Thursday. 5:30-6:00
U7. 2012/2013. $50.00. Tuesday & Thursday 5:30-6:30
U9. 2010/2011. $65.00. Tuesday & Thursday. 6:30-7:30
U11. 2008/2009. $65.00. Tuesday & Thursday. 6:00-7:00
U13. 2006/2007. $80.00. Tuesday & Thursday. 7:00-8:00
U15. 2004/2005. $80.00. Tuesday & Thursday 7:00-8:30
U17 2002/2003 Please Contact Registrar

Email address *
Age Group *
Player's Name *
Your answer
Age *
T-shirt Size *
Date of birth *
MM
/
DD
/
YYYY
Sex *
Mailing Address *
Your answer
Town *
Postal Code *
Your answer
Alberta Health Care Number *
Your answer
Doctor
Your answer
Medical Conditions
Your answer
Allergies - Please list any allergy concerns and treatment that the organization should be aware of.
Your answer
Parent/Guardian 1 *
Your answer
Parent/Guardian 1 Phone Number *
Your answer
Parent/Guardian 2
Your answer
Parent /Guardian 2 Phone number
Your answer
Emergency Contact
Your answer
Emergency Contact Phone Number
Your answer
Phone Number To Add To Team List *
Your answer
Email Address To Add To Team List *
Your answer
Children U13 and under are required to have a parent/guardian on the field at all times. *
Required
Equipment Required - Shin guards , socks over top of shin guards, cleats (all ages) *
Required
FOIP Freedom of Information Permission *
Consent For Medical Treatment *
Required
Liability I, we, the parents or guardians of the above named child, hereby give approval for the participation of the child in any and all activities during the current season. I/we assume all risks and hazards incidental to such participation to and from activities, and so hereby waive, release, absolve, indemnify, and agree to hold harmless the FAIRVIEW MINOR SOCCER CLUB AND THE CULTURE AND THE RECREATION BOARD, the organizers, sponsors, supervisors, participation, and persons transporting my/our child to and from any claim arising out of injury to my/our child. *
Volunteer Positions Please check all that apply you will be contacted for more info. Volunteer list will also be available at registration. Sign up early for the best options. *
Required
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A copy of your responses will be emailed to the address you provided.
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