Registration youth program form

1st Parent Full Name

Email

Phone number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

2sd Parent Full Name

Email

Phone number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Season

Autumn/winter – Futsal competition
Spring/summer- Soccer competition

1st Player Name

Gender

Boys
Girls

Birthdate

health status

Choose your training session

Training session_Tuesday – $300.00
Training session_Tuesday & Thursday – $480.00

competition fee

Yes play competition – $200.00
Not interested – $0.00

Player from 8 years old and more

Quebec Player passport

Add – $77.00
My player passport still active – $0.00

The player’s passport provides insurance coverage to the player in case of serious injury. It is valid from April 1st to March 30th of the following year.

2 sd Player Name

Gender

Boys
Girls

Birthdate

health status

Choose your training session

Training session_Tuesday – $300.00
Training session_Tuesday & Thursday – $480.00

competition fee

Yes play competition – $200.00
Not interested – $0.00

Player from 8 years old and more

Quebec Player passport

Add – $77.00
My player passport still active – $0.00

The player’s passport provides insurance coverage to the player in case of serious injury. It is valid from April 1st to March 30th of the following year.

3 rd Player Name

Gender

Boys
Girls

Birthdate

health status

Choose your training session

Training session_Tuesday – $300.00
Training session_Tuesday & Thursday – $480.00

competition fee

Yes play competition – $200.00
Not interested – $0.00

Player from 8 years old and more

Quebec Player passport

Add – $77.00
My player passport still active – $0.00

The player’s passport provides insurance coverage to the player in case of serious injury. It is valid from April 1st to March 30th of the following year.

Total

$0.00