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ECNC Senior Registration
Every player must fill in this form at the start of every season. This is to make sure we have the most up to date information about each player. Thank you for your cooperation.
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Personal Details
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Phone Number
*
Your answer
Address
*
Line 1
Your answer
Emergency Contact
Name
*
Your answer
Emergency Contact Number
*
Your answer
Membership Details
Full membership will run from Jan-Dec and includes Spring, Summer, and Fall seasons + any weeknight training. For those joining mid-year, there is an option to pay for individual seasons. Affiliate members will be associated with the club and allowed to join a team travelling to an away tournament.
Season Fee
*
Which season fee are you registering for?
Choose
Adult - Full Year Membership (runs Jan-Dec and includes all 3 seasons) $145
Adult - One Season only - (includes all Saturdays + any weeknight training) $60
Adult - Casual (I will pay Drop-in fees of $10 each visit)
Affiliate - $35
Preferred Playing Position
*
Indicate where you prefer to play on court
Choose
Defense - GD/GK
Defense - WD
Center - C
Attack - GS/GA
Attack - WA
I will play anywhere
Umpiring
*
Would you like to participate in umpiring?
I'd like to umpire & have umpired before
I'd like to umpire but have not umpired before
I'd like to learn
Not interested
Required
I agree that payment is due upon registration and will submit payment via cash, check, or PayPal
*
I will pay an Annual Membership fee of $145
I will pay one Season fee of $60
I will prefer to pay $10 each session I attend
I will be an Affiliate of the club for $35
Required
Health & Allergy Information
Health & Allergy Information
Please provide any allergies, medical conditions, or medications that the club should be aware of.
Your answer
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