Brad Higgs Soccer Schools - Summer 2011Online 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

We currently accept VISA & MASTERCARD.

Our online registration process is secure, using 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 print out a registration form here and mail it in with a cheque or money order. 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:             Fees are now set in the Program selection

Program session number desired:          Session 1-28
Program Fees for Boys & Girls aged 4 to 15
p1 $100.00
p2 receive a discount for Team registrations for p1
p3 $100.00
p4 $150.00
p5 $150.00
Open Session detail list in a new window

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

Do you wish to buy a ball? Yes No
If yes, Leather ($30) or Rubber ($15)

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 :

Contact & Credit Card Information

Your Name:

E-mail:

Credit Card:

Credit Card Number:

Credit Card exp. date: month year

Name as it appears on your credit card:

By clicking on the submit 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.

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