Soccer Quest

Individual Registration Form

Please select league:
Please select Camp:
Please select tournament:
* Specify Again Exactly What You Are Registering For eg: Nelson July12-16 Full Day


Please provide the following information, if applicable

* Player's name:
* Parent / Guardian name:
* Work phone:
* Home phone:
* Emergency phone:
* Street address:
* City:
Province:
* Postal Code:
* E-mail address:
BC Medical Number:
Date of birth:
* Gender:	Male Female

For team registrations only

Team roster:	Type player names here, one per line.

Payment Methods

Method of Payment:
* E-mail address: (for sending confirmation of order)
Total:


Cancellation Policy

No refunds given if you cancel within two (2) weeks of the start date. A $25.00 administration fee will be retained on all other cancellations. Discounts will be subtracted at time of processing
Waiver

BY SUBMITTING THIS REGISTRATION I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RIGHTS, DANGERS AND HAZARDS INCLUDING THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM PLEASE DOUBLE CHECK ALL FIELDS ABOVE ARE FILLED IN & ONLY CLICK THE SUBMIT BUTTON ONCE, ERROR WILL OCCUR IF IT IS CLICKED MORE THEN ONCE!