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McCauley Soccer Registration
Please complete this form to register your child/youth
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Player Information
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Choose
4
5
6
7
8
9
10
11
Date of Birth
*
MM
/
DD
/
YYYY
Gender
Choose
Agender
Gender Fluid
Male
Non-Binary
Transgender
Two-Spirit
Female
Prefer not to say
Other not listed above
Soccer Level
*
Beginner
Novice
Intermediate
Advanced
Albert Health Care Number
Your answer
Medical Conditions (if applicable)
Your answer
Parent/Guardian Contacts
Contact #1
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Would you like to be added to the McCauley Soccer Program WhatsApp Group?
*
Yes
No
Address
Your answer
Contact #2 (If Applicable)
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Would you like to be added to the McCauley Soccer Program WhatsApp Group?
Yes
No
Clear selection
Address
Your answer
Emergency Contact
Name
Your answer
Phone Number
Your answer
Please note that by completing this form, you consent to being added to the McCauley Community League member list.
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