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Burnaby Bears Field Hockey Club - 2017 Junior Season Registration
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
Phone Number 1
Your answer
Phone Number 2
Your answer
Suite
Your answer
Home and Street Address
Your answer
City
Province
Postal Code
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 and Promotions
Required
Uniform Order Placement - $40 per player
Uniform orders include a jersey and a pair of socks.

Please note that jerseys may fit a bit small when making your order.

Mail your cheque to:

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

Jersey Sizing - Part 1
Jersey Sizing - Part 2
Registration Payment Information - $75 per player
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 cannot provide tax receipts for any donations)
How did you hear about us?
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