2020 Valley Huskers Registration
Please fill out the below form and also email the required documentation to registrar@valleyhuskers.ca
Link to forms: https://www.valleyhuskers.ca/forms

2020 Valley Huskers Liability Waiver:

BCPFA Concussion Information Form:

A scan or photo of Passport or Birth Certificate (Please note: Driver's License is not acceptable)
A scan or photo of Medical Services Plan card (front AND back)
Email address *
Medical Forms *
Required
First Name *
Last Name *
Phone Number *
Address *
City *
Province *
Postal Code *
Height (ft,inches) *
Weight (lbs) *
Position *
Next of Kin *
Next of kin relationship *
Next of kin Phone # *
Emergency Contact *
Emergency Contact Relationship *
Emergency Contact Phone # *
Birth Year *
Birth Month *
Birth Day *
Medical MSP # *
Medical MSP Province *
Next
Never submit passwords through Google Forms.
This form was created inside of Fraser Valley Junior Football Association.