Burnaby Bears Field Hockey Club - 2017/2018 Women's Season Registration

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Vancouver Women's Field Hockey Association - Div 3 & Div 4 Teams
The season will run from September until March with practice once per week on Tuesdays, and games once per week on Saturdays/Sundays. Schedule TBD.

To be eligible athletes must be born in at least 2005...turning 13 years old by December 31, 2018.

Registration Information

First Name *

Last Name *

Date of Birth *

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 *

Burnaby

New Westminster

Vancouver

Coquitlam

Port Moody

Port Coquitlam

Surrey

Richmond

North Vancouver

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 *

Yes

Uniform Order Placement

Purple Socks - $10
Bears Jerseys - NEW $40 *USED $20

Please note that these jerseys do fit small when making your order.
These jerseys are the same ones worn in previous Junior & Women's seasons.
*used jerseys are subject to stock

Mail your 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 month do games begin?
A: september

Jersey Sizing - Part 1 *

Youth Sizing

Women's Sizing

Already have a jersey

Jersey Sizing - Part 2 *

XXL

Already have a jersey

Socks *

Small (<5 size)

Medium (5 - 8.5 size)

Large (8.5 - 12 size)

Already have socks

Registration Payment Information

EARLY BIRD RATE is $185
Any registration fees received after September 8th will be REGULAR RATE $235

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 month do games begin?
A: september

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 volunteer?

Coach

Umpire

Team Manager

Fundraising

Social Events

Other:

Clear selection

Would you like to Make a Donation? (Note: we are not a Registered Charity and therefore cannot tax receipts for any donations)

Yes - Please mail your donation to the Club mailing address. Thank you!

Not at this time

Clear selection