VEGREVILLE MINOR SOCCER 2019 OUTDOOR REGISTRATION FORM

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DIVISION/AGE GROUP
None Selected -
FAMILY FUNDRAISING FEE
None Selected -

$ 0.00 Total:

VEGREVILLE MINOR SOCCER 2019 OUTDOOR REGISTRATION FORM

PLEASE FILL IN ALL INFORMATION. SECTIONS THAT HAVE A “RED ASTERIKMUST BE FILLED IN BEFORE YOU CAN PROCEED.

U11 LEAGUE PLAY

U11S WILL BE DIVIDED BY GENDER AND BE PLAYING LEAGUE THIS SEASON. 3 GAMES, WHICH DO REQUIRE TRAVEL (HOPEFULLY ONLY TO ST. PAUL) NO LAKELAND CUP, BUT THEY WILL BE PARTICIPATING IN THE CAMROSE NIGHT CLASSIC. DUE TO LEAGUE PLAY, THE REGISTRATION FEE HAS BEEN ADJUSTED.

MUNDARE PARENTS

UNFORTUNATELY WE DON’T HAVE ENOUGH INTEREST THIS YEAR TO RUN THE MUNDARE PROGRAM. ALL MUNDARE PARENTS OR SURROUNDING COMMUNITIES ARE OF COURSE WELCOME TO REGISTER THEIR CHILDREN IN OUR VEGREVILLE PROGRAM. THANK YOU.

NEW IMPORTANT PAYMENT INSTRUCTIONS

REGISTRATION/FUNDRAISING FEES ARE DUE WHEN REGISTERING. A $100 PER FAMILY FUNDRAISING FEE WILL BE ADDED TO YOUR TOTAL. THE FOLLOWING ARE THE OPTIONS FOR PAYING REGISTRATION FEES AND FUNDRAISING FEES: YOU MAY CHOOSE TO “PAY ONLINEWITH PAYPAL OR YOUR CREDITCARD OR YOU MAY CHOOSE TO “PAY OFFLINE” BY SENDING AN E-TRANSFER TO SHELLEY BERRY AT DSBERRY@TELUS.NET IMMEDIATELY AFTER FILLING OUT YOUR REGISTRATION FORM. FOR E-TRANSFERS, CREATE YOUR OWN QUESTION AND TEXT SHELLEY THE ANSWER, YOUR NAME, YOUR CHILDREN’S FULL NAMES AND DOBS TO 587-280-0771. REGISTRATIONS THAT MUST CHOOSEPAY OFFLINE”: SUBSIDY REGISTRATIONS AND FAMILIES OVER THE $600 MAXIMUM. PARENTS APPLYING FOR SUBSIDY (JUMPSTART/KIDSPORT) MUST FILL OUT THEIR APPLICATIONS WITH THE SUBSIDY AGENCY FIRST (DO NOT INCLUDE THE $100 FUNDRAISING FEE ON YOUR SUBSIDY APPLICATION FORM), THEN REGISTER THEIR CHILD/CHILDREN WITH VMSA CHOOSINGPAY OFFLINE”. ANY QUESTIONS CAN BE DIRECTED TO VMSA’S REGISTRAR SHELLEY BERRY AT 587-280-0771 OR DSBERRY@TELUS.NET

IMPORTANT FAMILY REGISTRATION INSTRUCTIONS

FAMILIES THAT ARE REGISTERING MORE THAN 1 CHILD MUST CHOOSESUBMIT AND COMPLETE ANOTHER FORMAND FILL OUT THE FIRST PAGE OF THE REGISTRATION FORM FOR EACH CHILD BEFORE CLICKING ON THE SINGLESUBMITBUTTON. REGISTERING YOUR CHILDREN SEPARATELY WILL RESULT IN EACH CHILD BEING CHARGED THE $100 FUNDRAISING FEE, INSTEAD OF THE APPROPRIATE FEE OF ONLY $100 PER FAMILY.

FEES

A $25 LATE FEE WILL BE APPLIED AFTER MARCH 31, 2019. A $25 ADMIN FEE WILL BE WITHHELD FOR ALL WITHDRAWLS AND CANCELLATIONS AND NO REFUNDS WILL BE ISSUED AFTER THE FIRST PRACTICE. A $100 FUNDRAISING FEE WILL BE ADDED TO YOUR TOTAL AT CHECK OUT, WHICH YOU CAN RECOUP BY SELLING YOUR BOOK OF RAFFLE TICKETS TO YOUR FAMILY AND FRIENDS.


PLAYER INFORMATION

PLEASE FILL OUT THE REQUIRED INFORMATION.

DIVISION/AGE GROUP INSTRUCTIONS

WHEN SELECTING THE DIVISION/AGE GROUP FOR YOUR CHILD, PLEASE USE THE FOLLOWING GUIDE TO DETERMINE THE CORRECT SELECTION. YOU MUST PLACE YOUR CHILD IN THE CORRECT AGE GROUP. FOR EXAMPLE: A CHILD BORN IN 2008 OR 2009, YOU WILL SELECT THE U11 AGE GROUP. IF A CHILD IS REGISTERED IN THE WRONG AGE GROUP, THEY WILL AUTOMATICALLY BE MOVED TO THE CORRECT AGE GROUP. ALL REQUESTS FORPLAYING UP A LEVELNEED TO BE EMAILED TO THE REGISTRAR/TEAM CREATION CHAIR SHELLEY BERRY AT DSBERRY@TELUS.NET. INCLUDE YOUR CHILD’S FULL NAME, DOB AND THE REASON YOU’RE MAKING THE REQUEST. VMSA CREATES TEAMS AS FAIR AND EQUAL AS POSSIBLE.

CHILDREN BORN IN 2014 & 2015 ARE IN U5
CHILDREN BORN IN 2012 & 2013 ARE IN U7
CHILDREN BORN IN 2010 & 2011 ARE IN U9
CHILDREN BORN IN 2008 & 2009 ARE IN U11
CHILDREN BORN IN 2006 & 2007 ARE IN U13
CHILDREN BORN IN 2004 & 2005 ARE IN U15
CHILDREN BORN IN 2002 & 2003 ARE IN U17
CHILDREN BORN IN 2000 & 2001 ARE IN U19

PLAYERS MEDICAL CONDITIONS, MEDICATIONS AND ALLERGIES

PLEASE INDICATE IN THE SPACE BELOW IF YOUR CHILD HAS ANY MEDICAL CONDITIONS OR ALLERGIES THAT THE COACHING STAFF SHOULD BE AWARE OF. ALSO, LIST ANY MEDICATIONS THEY MAY NEED TO TAKE AT PRACTICE OR A GAME.


PARENT/GUARDIAN INFORMATION

PLEASE FILL OUT THE FOLLOWING INFORMATION.
REMEMBER IF YOUR ADDRESS IS THE SAME AS THE PLAYER’S, YOU DON’T NEED TO FILL IT OUT AGAIN, JUST CHECK THE BOX!


VOLUNTEERING/FUNDRAISING

A SUCCESSFUL PROGRAM DEPENDS ON THE SKILLS AND TALENTS OF VOLUNTEERS. PLEASE INDICATE YOUR AREA OF INTEREST. EACH FAMILY MUST CHOOSE 1 AREA OF INTEREST. VMSA REQUIRES THAT EACH COACH, ASSISTANT COACH AND TEAM MANAGER PROVIDE A CLEAR CRIMINAL RECORD CHECK (REGISTRAR WILL PROVIDE THEVOLUNTEER LETTERREQUIRED BY THE RCMP TO THE PARENTS/GUARDIANS THAT ARE SELECTED FOR THESE POSITIONS) THE CPIC MUST BE RETURNED TO THE REGISTRAR BY MAY 1, 2019.

IN ORDER FOR VMSA TO KEEP OUR FEES AFFORDABLE TO SOCCER FAMILIES, WE HAVE A RAFFLE FOR THE OUTDOOR SEASON. A $100 PER FAMILY FUNDRAISING FEE WILL BE INCLUDED IN THE REGISTRATION FEES, WHICH YOU CAN RECOUP BY SELLING YOUR BOOK OF RAFFLE TICKETS TO FAMILY AND FRIENDS.

VOLUNTEERING

PLEASE CHOOSE ONE OF THE FOLLOWING AREAS OF INTEREST TO FULFILL YOUR VOLUNTEERING REQUIREMENT. IF THERE IS NO GUARDIAN 2, PLEASE CHOOSE THE OPTION (N/A) UNDER AREA OF INTEREST FOR GUARDIAN 2.

INTEREST IN REFEREEING

PLEASE CHECK THE FOLLOWING BOX IF YOU OR SOMEONE IN YOUR FAMILY WOULD LIKE MORE INFORMATION ON BECOMING A REFEREE.


FUNDRAISING

THE $100 FUNDRAISING FEE FOR 1 BOOK OF RAFFLE TICKETS PER FAMILY WILL BE ADDED TO YOUR TOTAL AT CHECKOUT. REMEMBER PARENTS CAN RECOUP THE $100 BY SELLING TICKETS TO FRIENDS AND FAMILY. SINCE YOU ALREADY PAID FOR YOUR BOOK OF RAFFLE TICKETS WITH YOUR REGISTRATION FEES, YOU JUST KEEP THE MONEY FROM SELLING YOUR TICKETS, BUT PLEASE REMEMBER YOU MUST TURN IN YOUR TICKET STUBS! PLEASE CHECK THE FOLLOWING BOX TO CONFIRM YOUR FUNDRAISING COMMITMENT.

RAFFLE TICKETS

PLEASE CHECK THE FOLLOWING BOX IF YOU WOULD LIKE VMSA REGISTRAR SHELLEY BERRY TO FILL OUT YOUR 1 BOOK OF RAFFLE TICKETS IN GUARDIAN 1’S NAME AND THAT YOU AGREE TO PICK UP THE TICKET STUBS AT THE MARCH 19TH SPRING REGISTRATION NIGHT AT THE SOCIAL CTR FROM 5-7PM, THE MARCH 25TH REGISTRATION NIGHT AT THE LIBRARY CONFERENCE ROOM FROM 5-7PM OR CONTACT SHELLEY AT 587-280-0771 TO ARRANGE WHEN YOU CAN PICK THEM UP.

FUNDRAISING FEE

PLEASE CHOOSE THE APPROPRIATE SELECTION IN THE FOLLOWING DROP BOX FOR EACH CHILD. EG. YOU CHOOSE 1ST CHILD AND YOU WILL BE CHARGED THE $100 FAMILY FUNDRAISING FEE, BE SURE YOU CHOOSE 2ND, 3RD, 4TH, 5TH CHILD FOR YOUR REMAINING CHILDREN SO YOU ARE NOT CHARGED AGAIN FOR THE $100 FAMILY FUNDRAISING FEE. THE CHARGE FOR 2ND, 3RD, 4TH, 5TH CHILD IS $0.00. SUBSIDY APPLICATIONS NEED TO CHOOSE KIDSPORT/JUMPSTART APPLICATION FOR EACH CHILD.

VMSA MEMBERSHIP

WHEN YOUR CHILD IS REGISTERED WITH VMSA, YOU AUTOMATICALLY BECOME A MEMBER OF THE ASSOCIATION. PLEASE ATTEND OUR ANNUAL GENERAL MEETING (AGM), WHICH WILL BE ADVERTISED ON OUR WEBSITE (VEGREVILLESOCCER.CA), THE VMSA FACEBOOK PAGE AND OUR SIGN IN FRONT OF AGRITERRA.

CONSENT

I HEARBY GIVE MY CONSENT FOR MY CHILD TO PARTICIPATE IN VEGREVILLE MINOR SOCCER ASSOCIATION’S PROGRAMS. HE OR SHE MAY TRAVEL BY PUBLIC OR PRIVATE TRANSPORTATION TO PARTICIPATE IN SOCCER OUTSIDE OF VEGREVILLE. I ACCEPT FULL RESPONSIBILITY FOR ANY INJURIES MY CHILD MAY RECEIVE. I UNDERSTAND THAT MY CHILD CANNOT REGISTER IN ANOTHER SOCCER ASSOCIATION WHILE REGISTERED WITH VMSA. I UNDERSTAND THAT MY CHILD MAY BE IN PICTURES OR VIDEOS POSTED ON OUR WEBSITE, VARIOUS NEWSPAPERS AND/OR SOCIAL MEDIA, SUCH AS VMSA’S FACEBOOK PAGE. I AGREE TO RETURN MY CHILD’S JERSEY AT THE END OF THE SEASON. VMSA ALLOWS THE U5S & U7S TO KEEP THE TIM HORTON JERSEYS. INSURANCE FOR PARTICIPATION IN THESE ACTIVITIES IS LIMITED TO THE EXTENT OF MY ALBERTA SOCCER ASSOCIATION (ASA) COVERAGE BY MY MEMBERSHIP, HEREIN THROUGH THIS REGISTRATION.

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