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Registration
Player First Name
Middle Initial
Player Last Name
City/Town
Address
Province
ON
PE
NS
NB
QC
NL
MB
SK
AB
BC
YT
NT
NU
Postal Code
Country
Canada
Other (please specify in additional information)
Player D.O.B.
Player Gender
Male
Female
Unspecified
Player Uniform size (see chart below)
YM
YL
AXS
AS
AM
AL
AXL
Size not listed (add in additional information section)
Select Player Division (all division prices are $250)
U8 Division (players born 2018)
U9 Division (players born 2017)
U10 Division (players born 2016)
U12 Division (players born 2014 & 2015)
U14 Division (players born 2012 & 2013)
U15 Division (players born 2011)
Sibling First Name
Middle Initial
Sibling Last Name
Sibling D.O.B.
Sibling Gender
Male
Female
Unspecified
Sibling Uniform size (see chart below)
YM
YL
AXS
AS
AM
AL
AXL
Size not listed (add in additional information section)
Select Sibling Division (all sibling division prices are $230)
U8 Division (players born 2018)
U9 Division (players born 2017)
U10 Division (players born 2016)
U12 Division (players born 2014 & 2015)
U14 Division (players born 2012 & 2013)
U15 Division (players born 2011)
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Parent/Guardian Cell Phone
Parent/Guardian Email
Parent/Guardian 2 Cell Phone
Primary Emergency Contact First Name
Primary Emergency Contact Last Name
Primary Emergency Contact Cell Phone
Primary Emergency contact Relationship to Player
Does the player have any allergies that we need to be aware of?
No
Yes (specify in additional information)
Does the player have any other medical conditions that we need to be aware of?
No
Yes (specify in additional information)
Additional information/message for PUFC
Refund Policy and Waiver
REFUND POLICY (click on the icon to open document)
📃
I have read the PUFC Refund Policy
YES
PUFC Waiver (click on the icon to open document)
📃
I have read the PUFC Waiver
YES
Ontario Soccer Waiver (click on the icon to open document)
📃
I have read the Ontario Soccer Waiver
YES
I/We have read, understand and agree to comply with the above waivers
HEADS UP (click on the icon to open document)
📃
I have read HEADS UP Concussion Waiver
YES
Parent/Athlete Information Sheet (click on the icon to open document)
📃
Fact Sheet for Athletes (click on the icon to open document)
📃
Athlete Agreement
I learned about concussion and talked with my parent or coach about what to do if I have a concussion or other serious brain injury
Parent/Guardian Agreement
I have read this fact sheet for parents on concussion with my child or teen and talked about what to do if they have a concussion or other serious brain injury
Payment must be made prior to registration confirmation
Single player $250, sibling price additional $230
Payments can be made via
-E-transfer to
[email protected]
Please select payment method
E-transfer to
[email protected]
Submit Registration
