Registration with Cheque

PRE-REGISTRATION FORM

Please fill out the following registration form and remember to click the SEND button, your confirmation message will be show at the top of the page:

    PARENT/GUARDIAN

    Surname (required)

    Given Name (required)

    Your Email (required)

    Phone Number (required)

    Address

    PLAYER(S)

    Player 1 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    Player 2 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    Player 3 - Full name

    Gender

    Age:

    Birthday: Day: Year:

    REGISTRATION FEE

    Please type the amount of your payment below

    Cheque Number

    Transaction Date

    As parent/guardian of the above player(s), I agree to hold harmless Sports4Life and staff members for injuries and other incidents that may result in my child’s participation in the above activity. Further, I have current medical insurance coverage, agreeing to assume all responsibilities if such expenses arise from injuries sustained in the activity. I also, hereby give my consent to Sports4Life to use my child’s/participant’s images/photos and to be posted on the Sports4Life network and to display his/her name with the associated images or videos.

    By entering my name below, I agree to the Sports4life Agreement and Waiver




    Full Name (required)