2023 Spring Registration 1General Information2Player Information3Guardian Information4Terms & Conditions5Payment Welcome to the Vancouver United Online Registration. Each player is required to make payment through this online registration form and to fill out all pages as accurately possible. Click here to download registration form Please email [email protected] if you have any questions. Player Name* First Last Primary Email*All correspondence will be sent to this e-mail address. Enter Email Confirm Email Player Birthdate MM slash DD slash YYYY Player GenderMaleFemale HiddenPlayer IdentificationMax. file size: 32 MB.Player* New Player Returning Player Previous TeamCoach Name First Last Age LevelU4U5U6U7U8U9U10U11U12U13U14U15U16U17U18AdultOtherTeam Name Club Vancouver United Sports Club Medical InformationHealth Card Medical CondtionsUnifrom (Kit)Jersey SizeYouth SmallYouth MediumYouth LargeSmallMediumLargeShorts SizeYouth SmallYouth MediumYouth LargeSmallMediumLarge Guardian Name* First Last Guardian Relationship*MotherFatherGuardianOtherPrimary Cell PhonePrimary Home PhonePrimary Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Terms and Conditions Release and Waiver of Liability, Assumption of Risk, and Indemnity and Parental Consent Agreement ("agreement") IN CONSIDERATION of being permitted to participate in any way in VANCOUVER UNITED SPORTS CLUB Activities ("Activity") I, for myself for personal representatives, assigns, heirs, and next of kin: ACKNOWLEDGE, agree, and represent that I understand the nature of VANCOUVER UNITED SPORTS CLUB Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. MINOR RELEASE:I, the minor's parent and/or legal guardian, understand the nature of VANCOUVER UNITED SPORTS CLUB activities and the minor's experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasees from all liability claims, demands, losses, or damages on the minor's account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operation and further agree that if, despite this release, i, the minor, or anyone on the minor's behalf makes a claim against any of the releasees named above, i will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as a result of any such claim. I authorize the Vancouver United Sports Club to use photographs or videos of me or my child for promotional or educational purposes in any type of media, including its website. I understand that I will not be paid or rewarded for providing this authorization. Agreement* I agree to the terms of service. Signature* PaymentPayment*U5 (2018)– U6 (2017)U7 (2016) – U12 (2011)U13 (2010) – U18 (2005)Coupon Total $ 0.00 CAD Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. Δ (c) Payments powered by sanskript.com