Registration

Number of Players *

One Player - $ 250.00
Two Players - $ 500.00
Three Players - $ 750.00

Player One Information

Player 1: First Name *

Player 1: Last Name *

Player 1: Date of Birth *

Player 1: Gender *

Jersey Size *

Player Two Information

Player 2: First Name *

Player 2: Last Name *

Player 2: Date of Birth *

Player 2: Gender *

Jersey Size *

Player Three Information

Player 3: First Name *

Player 3: Last Name *

Player 3: Date of Birth *

Player 3: Gender *

Jersey Size *

Additional Information

Phone Number *

Alternate Phone Number *

Email Address *

Arena Selection *

Brampton (Ray Lawson Blvd / Cherrytree Dr)
Springdale (Torbram / Sandalwood Pkwy)
Gore / Malton / Rexdale (Cottrelle / Clarkway)
Brampton North (Bovaird / Chingucausy Rd)
Brampton North (Queen Mary Dr / Sandalwood Pkwy)

I would like to become a team sponsor.

Parents and business owners may sponsor specific soccer teams within the club. Checking this box will indicate that you are interested in doing so.

Checkboxes

I would like to become a team coach.

Parents and business owners may apply as a coach for a specific soccer team within the club. Checking this box will indicate that you are interested in doing so.

Total

360.00

New Registrant Application

Player One Information

Player Two Information

Player Three Information

Additional Information