Brantford City Soccer Club 2021-2022 MJ/Rep Outdoor Soccer Registration Form

September 2021

MJ/REP Coaches and Parents:

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The club has made every attempt to keep the fees as low as possible. The fees are based on many factors. The registration fees include:

Team Registration
OSA Fees
Referee Fees
Uniform (consist of home/away jersey, shorts, 2 pairs of socks, a backpack, and a practice shirt)
8 sessions for team indoor training. Only to be used at Access Storage Sports Centre. No substitutions.
10 technical training sessions at the Access Storage Sports Centre/Outdoors
Coaches Course Fees
Team Money - $300 will be given to the team at the end of season to use as needed, after all fines or expenses have been paid *(TEAM MUST FIND SPONSOR TO RECEIVE)*
Equipment
Administration
Outdoor Field Rentals/lights (for games only)
Uniform Printing
Coaching Expenses – to be paid at the end of the season
Team Set of Pinnies

Looking forward to a great 2021-2022 Season!!!

Brantford City Soccer Club Registration Fees & Refund Policy

The following refund policy is effective for the 2020/2021 outdoor season. The dates may be modified for each playing season.

2020-2021 Refund Policy
Requests for refunds must be in writing and submitted to:

Brantford City Soccer Club
160 Charing Cross Street
Brantford, ON N3R 2J4

Letters must be postmarked or stamped received following the date guidelines explained below. Refund requests may also be sent by email to bcsc@bellnet.ca. All refund requests must state the player’s name, mailing address, date of birth, team name (if known) and phone number.

MJ/Rep Programs

REGISTRATION FEES
- First Installment: A non-refundable deposit of $150 is due at the time of the player’s acceptance of his/her position on the team and or/signing of registration forms/ due by OCTOBER 15, 2020
- Second Installment: An additional non-refundable deposit of $150 is due by JANUARY 15, 2021
- Third/Final Installment: Balance of registration fees ($385) is due by MARCH 31, 2021
- Failure to meet these conditions will mean that your child will not be able to participate in any team activities or receive equipment/uniforms until such time as conditions are met
- Anyone needing financial aid please contact the Brantford City Soccer Club for information.
- Any NSF cheque will be assessed a $25.00 administrative fee.
REFUNDS
- After MARCH 31, 2021 refunds will only be given for medical reasons or at BCSC discretion. (Doctor's note may be required).
- Refund will only apply to balance of fees (over $300 non-refundable deposit) paid after JANUARY 15, 2021 less a $25.00 per player administration fee.
- After first game: No medical refunds

Brantford City Soccer Club
2020-2021 MJ/REP OUTDOOR SOCCER
REGISTRATION FORM

Personal Information

Child's Last Name:*

Child's First Name:*

Home Address(including Apt/Unit #):*

City:*

Province:*

Postal Code:*

Primary & Secondary Phone Number:*

E-mail Address:*

Date of Birth (Y/M/D):*

Gender:*

Playing History

Has Your child played with Brantford City Soccer Club(BCSC) before?*

Yes
No

If Yes, when last?*

Has Your child played organized soccer before?*

Yes
No

If Yes, when last?*

Is Your child Currently playing MJ/REP soccer?*

Yes
No

If Yes, when last?*

Do you have a up-to-date players card?*

IF YOU DO NOT HAVE A PLAYERS CARD YOUR REGISTRATION WILL NOT BE PROCESSED

Yes
No

You must upload a copy of proof of age as well as a photo headshot.*

Drop files here or

Accepted file types: jpg, png, Max. file size: 1 MB, Max. files: 2.

Consent for use of personal information

I authorize the Canadian Soccer Association, Ontario Soccer, Hamilton & District Soccer Association, and Brantford City Soccer Club to collect and use personal information about me or my child/ward for the purpose of receiving communications from the Ontario Soccer Association, District, League and Club. I understand that I may withdraw such consent related to receiving communications at any time by contacting the Ontario Soccer Privacy Officer at Privacy@ontariosoccer.ca or by mail to: Attention: Privacy Officer, Ontario Soccer, 7601 Martin Grove Road, Vaughan ON L4L 9E4. The Privacy Officer will advise the implications of such withdrawal.

*We do not sell or distribute your personal information to any other third party not listed herein.*

Acceptance of terms & conditions

In consideration of the acceptance of mine or my child/ward’s membership in the Ontario Soccer, Hamilton and District Soccer Association and Brantford City Soccer Club, I, the participant agree as follows:

I understand that I cannot play in any sanctioned soccer game until after this registration form has been validated and the registration data has been entered in Ontario Soccer's computerized registration system.
I have read and understand the waiver attached and my signature affixed hereto indicates my agreement with such waiver.
I am aware of Ontario Soccer, Hamilton & District Soccer Association and Brantford City Soccer Club bylaws, policies, rules and regulations and agree to abide by them and to be bound by them.
I accept sole responsibility for my personal possessions and athletic equipment and accept all liability for any damage to the playing equipment caused by my careless, negligent and/or improper handling.
I grant permission to the Organization to photograph and/or record my image and/or voice on still or motion picture film and/or audio tape and to use this material to promote the sport of soccer and the Organizations through the media of newsletters, websites, television, film, radio, print, and/or other form. I understand I waive any claim to remuneration for use of audio/visual materials used for these purposes.

By signing and dating below you agree that you are the player being registered and to be bound by this legal agreement even if you have not read this agreement.

Registrant's signature or Parent/LegalGuardian if under 18*

Date*

If you would like a copy of this completed form emailed to you please include your email address

Brantford City Soccer Club Registration Fees & Refund Policy

MJ/Rep Programs

REGISTRATION FEES

REFUNDS

Personal Information

Playing History

Consent for use of personal information

Acceptance of terms & conditions

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