Brantford City Soccer Club 2022-2023 Rep Outdoor Soccer Registration Form

September 2022

REP Coaches and Parents:

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 Fee
Ontario soccer Insurance Fees
Match Official Fees
10 sessions for team training. 3 Sessions at ASSC, 5 sessions at community space, 2 sessions on outdoor turf. No substitutions.
11 technical training sessions 3 Sessions at ASSC, 5 sessions at community space, 3 sessions on outdoor turf with our technical director/trainer.
Coaches Course Fees
Coaches Development 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 *(Feature only available if team sponsor found.)*
Team Equipment
Administration Fees
Outdoor Field Rental/lights for matches
Coaching Expenses (for the head coach and up to one assistant coach)– to be paid at the end of the season
Team Set of Pinnies
*IF TEAM SPONSORS ARE NOT FOUND THE $750.00 SPONSORSHIP FEE WILL BE DIVIDED EVENLY AMONGST THE PLAYERS TO BE PAID IN ADDITION TO THE ABOVE COSTS*

Looking forward to a great 2022-2023 Season!!!

Brantford City Soccer Club Registration Fees & Refund Policy

The following refund policy is effective for the 2022/2023 outdoor season. The dates will be modified for each playing season.

2022-2023 Refund Policy
Requests for refunds must be in writing and submitted to:

Brantford City Soccer Club
101 Wayne Gretzky Parkway
Brantford, ON N3S 7N9

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 $200.00 is due within one week of the time of the player’s acceptance of his/her position on the team and or/signing of registration forms but no later then OCTOBER 14, 2022
- Second Installment: An additional non-refundable deposit of $200.00 is due by JANUARY 17, 2023
- Third/Final Installment: Balance of registration fees are due by MARCH 31, 2023
- 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, 2023 refunds will only be given for medical reasons or at BCSC discretion. (Doctor's note may be required). Once the game portion of the season commences there will be no refunds.
- • Refunds will only apply to balance of fees (amount paid above the $400.00 non-refundable deposit) paid after JANUARY 17, 2023 less a $25.00 per player administration fee.
- After first game: No medical refunds

Brantford City Soccer Club
2022-2023 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 Book?*

If you have not submitted a headshot and proof of age in 2021 or 2022 this will be required.

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 2022-2023 Rep Outdoor Soccer Registration Form

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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