Burnaby Bears Field Hockey Club - 2023 Fall Bear Cubs Program Registration
Program Information:

- Eligible athletes are children and youth between U8 to U14. We will group athletes based on age, friendship, commitment, and experience. We are hoping to create a U10 Team and a U14 Team.

- BBFHC Registration Fee: $85 EARLY BIRD until JULY 23, $100 regular rate JULY 24 onward   

- This program runs from the beginning of September 2023 to the end of November 2023

- Practices on Tuesdays from 6:00 to 7:30pm @ Burnaby Lake Sports Complex West, Field #2

- Games are on Saturdays

- Programming is subject to change based on PHO, viaSport, and Field Hockey BC regulations; changes may include the tightening or loosening of COVID-19 restrictions over time.


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 *
Parent/Guardian 2
Email is the primary way that we communicate with our community. Please consider the email addresses you wish to include, including athlete email addresses.
Email 1 *
Email 2
Email 3
Phone Number 1 *
Phone Number 2
Suite
Home Address *
Postal Code *
City *
Province *
Emergency Information
Medical Concerns (enter None if no concerns) *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Number *
Field Hockey BC Membership (mandatory)
Field Hockey BC Memberships provide insurance coverage for all sanctioned field hockey activities in BC. Membership 'years' run from September 1st 2023 to August 31st 2024.


Please register with Field Hockey BC to get/renew your Membership Number anytime after FHBC opens registration for the 2023/2024 season. At a later time we will ask you to provide a screen shot to confirm your completion of registration.  
Participation Agreement
Application – All “Participants” (Athletes, Coaches, Fans, and Officials) who plan to attend any on-site activities.

All participants of Burnaby Bears Field Hockey Club (FHC) programs agree to abide by the following points:
I agree to follow/support this participant under 19 to follow the Burnaby Bears FHC Code(s) of Conduct. *
I agree to follow (or support this participant under 19 to follow) COVID-19 Safety Regulations as outlined by the PHO, viaSport, and Field Hockey BC. *
Photo Release
I give the Burnaby Bears FHC social media team permission to use photos or videos of this participant under 19 taken at team events for community engagement and promotional use. *
Confirmation Signature
By signing below, you agree that the information you are providing above is correct and that you commit to following the BBFHC constitution, policies, and codes of conduct.

Thank you and we look forward to seeing you soon!  
Date Signed *
MM
/
DD
/
YYYY
Please enter the name of the parent/guardian as confirmation of your signature on this form. *
Commitment to this program
In order to create our Team(s) we are hoping to gather a sense of commitment for the Fall 2022/Winter 2023 season.

We are not here to judge your priorities so please be honest with us about your commitment. Our intention is to create Team(s) that are sustainable and positive experiences for athletes, coaches, and community alike.  

We must declare our Team(s) to the Vancouver Women's Field Hockey Association by July 15, 2022. We will only be entering teams based on the registration numbers and commitment level shared with us.
What is your commitment level to Bear Cubs Program field hockey for 2023/2024?
This program is not a priority to me.
This program is a priority to me. I am committed to attending all practices and games outside of injury, illness, or emergency
Clear selection
Comments on your commitment level. Helpful info you can share may be: regular or irregular conflicts such as work or other sports/arts; dealing with an injury; dates you know you will not be available; etc.  
How did you hear about us? *
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 provide tax receipts for any donations)
Clear selection
Early Bird Registration Fees - $85 (until July 23)

BBFHC Registration Fees:
- BBFHC Early Bird Registration Fee: $85 (until July 23)
- Regular Registration Fee: $100 (July 24 onward)

E-transfer:
- send to: bbybearstreasurer@gmail.com
- Q: what colour are our uniforms?    A: purple
--please include the name of the player in the message section 

Cheque:
- made out to: Burnaby Bears Field Hockey Club and please include the name of the player in the memo line
- mail to: Chelsie Goodchild, 
354 Simpson Street New Westminster BC, V3L 3J9
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