Burnaby Bears Field Hockey Club - 2019 7-Aside League
July 2019
Tuesdays from 6:00 to 8:00pm @ BLSCW, Field #2

5 Sessions | Half Field | 7-Aside | 10 minute Quarters | $25

Mixed aged teams...must be born in 2006 and up
Sign in to Google to save your progress. Learn more
Registration Information
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian 1 (required for 18 and under)
Parent Guardian 2
Email 1 *
Email 2
Email 3
Phone Number 1 *
Phone Number 2
Suite
Address *
Postal Code *
City *
Province *
Work Address (answer if you work in Burnaby, but do not live in Burnaby)
Emergency Information
Medical Concerns (enter None if no concerns) *
Emergency Contact Name *
Emergency Contact Phone Number *
Field Hockey BC Membership (mandatory)
Register with Field Hockey BC to get your Membership Number before you complete this registration:

https://www.fieldhockeybc.ca/fhbc/membership.php 
Field Hockey BC Membership Number *
Photo Release
Permission to use athlete photograph for Club Website, Social Media, Promotions *
Registration Payment Information
$25.00 flat rate to participate
Due by Tuesday July 2nd  (first session)


Mail your registration cheque to:

Burnaby Bears Field Hockey Club
5582 Forglen Drive
Burnaby, BC
V5H 3L1

Etransfer your payment to:

bbybearstreasurer@gmail.com
Lauren Pughe - BBFHC Treasurer
Q: What colour are our jerseys?
A: purple
Supporting Our Club
Burnaby Bears Field Hockey Club is an incorporated Society under the British Columbia Society Act.  We are very grateful for any additional support you may choose to provide us.
Would you like to Make a Donation? (Note: we are not a Registered Charity and therefore cannot tax receipts for any donations)
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy