Online Registration Registration Form Player's First Name (*) Invalid Input Player's Last Name (*) Invalid Input Gender (*) Male FemaleInvalid Input Birthdate (*) Invalid Input Please use DD/MM/YY format Choose Age Group (*) -- Please Select Age Group --Born 2017 - 3 yr. old ($95)Born 2016 - 4 yr. old ($155)Born 2015 - 5 yr. old ($155)Born 2014 - 6 yr. old ($160)Born 2013 - 7 yr. old ($160)Born 2012 - 8 yr. old ($160)Born 2011 - 9 yr. old ($160)Born 2010 - 10 yr. old ($160)Born 2009/2008 - 11/12 yr. old ($165)Born 2007/2006/2005/2004 - 13/14/15/16 yr. old ($170)Invalid Input Do you qualify for the family discount of three or more children Invalid Input Home Phone (*) Invalid Input Mobile Phone Invalid Input Parent/Guardian First Name (*) Invalid Input Parent/Guardian Last Name (*) Invalid Input Address (*) Invalid Input City (*) Invalid Input Postal Code (*) Invalid Input E-mail Address (*) Invalid Input Would you like to coach: Invalid Input If you are an interested parent and would like to coach fill out the form on the coaches page of our website. Thank you. Friend or special requests: Invalid Input If you would like your child to play with another player, please indicate the name here: (Requests are not guaranteed). NOTE: ONLY 1 friend request will be honoured other than family members. Coaching Coach Asst. Coach Convenor RefereeInvalid Input Would you be willing to volunteer in one of the following areas Coaching Clinic Yes NoInvalid Input Would you be interested in attending a Coaching Information Clinic?
