Online Registration

	Name	Weight	Height	Gender	Date of birth			Total
		lbs	ft	Male Female		JanFebMarAprMayJunJulAugSeptOctNovDec	2007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

U4 Mixed	(born in 2006 or 2007)	$85		U14 Boys/Girls	(born in 1996, 1997)	$125
U6 Mixed	(born in 2004 or 2005)	$85		U16 Boys/Girls	(born in 1994, 1995)	$125
U8 Boys/Girls	(born in 2002, 2003)	$115		U20 Boys/Girls	(born in 1990, 1991, 1992 or 1993)	$125
U10 Boys/Girls	(born in 2000, 2001)	$115		U35 Co-ed	(21 – 34 years)	$125
U12 Boys/Girls	(born in 1998, 1999)	$125		O35 Co-ed	(born before 1974)	$125

Three or more players in same family - deduct $20 per player. - See Fees

Billing Information
Billing contact name: I am the legal Parent/Guardian of the player(s) above	I am interested in (optional): Coaching Convening Volunteering Assistant Coaching Refereeing I am over 35, and registering myself as a player and a Coach/Assistant Coach. ( If so, you qualify for a $60 discount. Please make sure your billing contact name and player name match. )
Street:
City: Postal: Province: AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory
Phone: E-mail address:
Comments:
PERMISSION TO PARTICIPATE I hereby authorize and permit the aforementioned player(s) to play soccer as organized by the Paris Soccer Club. I hereby release and absolve the Club, their employees or agents from any and all responsibility for any injury which may be incurred while participating in soccer activities.

You will have a chance to review this registration before it is final.

NOTES:
Placing cannot be guaranteed after March 31, 2010.
Post dated cheques accepted no later than March 31, 2010
Scholarships available if fees are prohibitive, for info email: pres@parissoccer.ca

NO REFUNDS AFTER MARCH 31st.
If not enough parents volunteer to coach, then refunds will be offered
to those players for whom a coach is not available.
Players refunded will be those who registered last within their respective divisions.

Paris Soccer Club,
P.O. Box 20090,
303 Grand River N.,
Paris, ON N3L 2N9
www.parissoccer.ca