2014 Futsal Festival Registration Form

2014 Futsal Festival Registration Form

To be submitted by the teams/clubs with approval from your local district.
Name of Youth District Soccer Association:
Name of Team and Club:
District:
Gender: / Age (circle one): U8 U9 U10 U11 U12
Contact Information (all correspondence will be directed to this person):
Name:
Address:
City: / Province:
Daytime Tel: / Cell #:
Fax: / Email:
TEAM ROSTER
First Name / Last Name
SUBMISSION INSTRUCTIONS
Please submit to .
Submit to the attention of: / Dan Turvill, Competitions Coordinator
Submit via one of the following: / 1)  Mail: / BC Soccer Association Office
250 – 3410 Lougheed Highway, Vancouver, BC, V5M 2A4
2)  Email: /
3)  Fax: / 604.299.9610
The Youth District Soccer Association listed above hereby declares that the players listed above are currently registered members of BC Soccer.
Name (Please print clearly): / Position:
Signature: / Date (dd/mm/yy):

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