Burnaby Bears Field Hockey Club - 2019 7-Aside League
July 2019
Tuesdays from 6:00 to 8:00pm @ BLSCW, Field #2

5 Sessions | Half Field | 7-Aside | 10 minute Quarters | $25

Mixed aged teams...must be born in 2006 and up

Registration Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
Parent/Guardian 1 (required for 18 and under)
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
Your answer
Address *
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Postal Code *
Your answer
City *
Province *
Work Address (answer if you work in Burnaby, but do not live in Burnaby)
Your answer
Emergency Information
Medical Concerns (enter None if no concerns) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Field Hockey BC Membership (mandatory)
Register with Field Hockey BC to get your Membership Number before you complete this registration:


Field Hockey BC Membership Number *
Your answer
Photo Release
Permission to use athlete photograph for Club Website, Social Media, Promotions *
Registration Payment Information
$25.00 flat rate to participate
Due by Tuesday July 2nd (first session)

Mail your registration cheque to:

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

Etransfer your payment to:

Lauren Pughe - BBFHC Treasurer
Q: What colour are our jerseys?
A: purple

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 Make a Donation? (Note: we are not a Registered Charity and therefore cannot tax receipts for any donations)
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