Brad Higgs Soccer Schools - Summer 2015 online registration.

Brad Higgs Soccer Schools Secure Online Registration

Those interested in Team Registration (minimum 12 players) or our Year-Round program should call Brad at 604.939.1114. >Contact Information

Our online registration process is secure, using PayPal's SSL server technology and your information will never be used, given, nor shared with any third-party for any reason. If you feel unsure about online transactions, you can also register by telephone. Just call 604.939.1114.

Online Registration

Player Information

Name, Age, and Gender

First Name:
Last Name:

Age:
Sex:

Birthdate (mm/dd/yyyy):
/ /

Address & Phone

Street:
City:
Postal Code (no spaces):

Phone
(res): -
(bus): -

Soccer School Information

Session, Shirt-size, Ball purchase, & Player soccer history

Select Program:
Date / Location:

All sessions are from 9:00 - 11:30 (except White Rock 9:30 - 12:00)
Program Fees for Boys & Girls (aged) 4-14: p1 $100.00

T-Shirt size:
Youth S M L
Adult S M L

Do you wish to buy a Signature Soccer Ball for $25 Yes No default

Number of years played organized soccer:

Calibre of play:

Has this player previously attended Brad Higgs Soccer Schools? Yes No

Does this player have any medical conditions? Yes No
If Yes, please name condition here :

Payment

By clicking on the Buy Now button, you are indicating that the above information is correct and that you have read and agreed to our waiver release listed here.

WAIVER RELEASE:

My child is in general good health and has my permission to participate in this program. I release Adidas, CKNW, Pepsi, and any and all sponsors of the B.H.S.S. and their employees and all B.C. Park and Recreations and their employees. I hold and save them harmless from any and all actions, claims, demands, liabilities, loss, damage, injury or expense of any kind in participation with the B.H.S.S.

I hereby authorize the directors of the B.H.S.S. to secure treatment for my child.

home | programs | staff | links

[FrontPage Include Component]