VEGREVILLE MINOR SOCCER 2022 OUTDOOR REGISTRATION FORM

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Pricing Details

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

$ 0.00 Total:

VEGREVILLE MINOR SOCCER 2022 OUTDOOR REGISTRATION FORM

PLEASE FILL IN ALL INFORMATION. SECTIONS THAT HAVE A “RED ASTERIK” MUST BE FILLED IN BEFORE YOU CAN CONTINUE.

********VERY IMPORTANT INSTRUCTIONS FOR FAMILIES WITH 3 OR MORE CHILDREN********

THE REGISTRATION FORM IS SET UP TO APPLY A 10% DISCOUNT UNTIL MARCH 31ST! FAMILIES WITH 3 OR MORE CHILDREN, GET A 20% DISCOUNT OFF THE REGULAR FEES UP TO A MAXIMUM OF $130 AND THE FAMILY PLAN IS CAPPED AT $650! THIS DOES NOT INCLUDE THE $100 FUNDRAISING FEE. PLEASE CONTACT SHELLEY BY TEXT AT 587-280-0771 IF YOU’RE REGISTERING MORE THAN 3 CHILDREN BEFORE YOU PAY EITHER ONLINE OR BY SENDING AN E-TRANSFER BECAUSE YOUR TOTAL ON THE FORM WILL BE WRONG! I’M UNABLE TO ADD 2 DISCOUNTS TO THE REGISTRATION FORM AND I WANT TO ENSURE THAT PARENTS REGISTERING 3 OR MORE CHILDREN ARE GETTING THEIR 20% DISCOUNT UP TO A MAXIMUM OF 20% OR THE $650 (BEFORE FUNDRAISING FEE) CAPPED FAMILY RATE. THANK YOU!

PAYMENT INSTRUCTIONS

REGISTRATON PAYMENT OPTIONS ARE: #1) ONLINE WITH A CREDITCARD/PAYPAL OR #2) OFFLINE WITH AN E-TRANSFER SENT TO DSBERRY@TELUS.NET. ENSURE YOU CHECKOFFLINE” IF YOU ARE SENDING AN E-TRANSFER. QUESTION: WHAT SPORT IS THIS FOR? ANSWER: SOCCER
FOR OFFLINE, PLEASE SEND A SEPARATE EMAIL TO DSBERRY@TELUS.NET WITH YOUR CHILD/CHILDREN’S NAMES AND DOBS IF YOU HAVE NOT INDICATED IN YOUR E-TRANSFER WHOSE REGISTRATION YOU’RE PAYING FOR. PARENTS APPLYING FOR SUBSIDY THROUGH JUMPSTART OR KIDSPORT WILL NEED TO FILL OUT THEIR ONLINE SUBSIDY APPLICATION FIRST AND THEN, PLEASE FILL OUT THIS SOCCER REGISTRATION FORM SELECTING EITHER JUMPSTART OR KIDSPORT AND PLEASE ENSURE YOU DO NOT INCLUDE THE $100 FUNDRAISING FEE ON YOUR KIDSPORT/JUMPSTART APPLICATION; THEY ONLY APPROVE FUNDING FOR REGISTRATION FEES. ON THIS SOCCER REGISTRATION FORM, ONLY PAY FOR THE $100 FUNDRAISING FEE ONLINE OR OFFLINE BY E-TRANSFER AND THEN CONTACT SHELLEY TO ARRANGE TO PICK UP YOUR RAFFLE TICKETS. YOU ARE ABLE TO “RECOUPYOUR FUNDRAISING FEE BY SELLING YOUR 1 BOOK OF RAFFLE TICKETS.
SUBSIDY INFORMATION WITH LINKS TO THEIR ONLINE APPLICATION FORMS IS ON THE HOME PAGE OF OUR WEBSITE IN THE ROTATING DISPLAY WINDOW AND THE LINKS ARE ALSO ON OUR 2022 OUTDOOR REGISTRATION DOCUMENT. A $100 FUNDRAISING FEE WILL BE ADDED TO EACH FAMILY’S REGISTRATION FEES AND THEY WILL BE REQUIRED TO EITHER BUY OR SELL 1 BOOK OF RAFFLE TICKETS TO FULFILL THEIR FUNDRAISING COMMITMENT. IF ANYONE HAS ANY QUESTIONS, PLEASE CONTACT THE REGISTRAR, SHELLEY AT 587-280-0771 OR BY EMAIL AT DSBERRY@TELUS.NET


****IMPORTANT INFORMATION FOR THOSE PAYING ONLINE****

WHEN PAYING WITH A CREDIT CARD OR PAYPAL, YOU MUST SCROLL DOWN ANDUNCHECKTHE LITTLE BOX ON THE PAYMENT PAGE THAT SAYSSAVE MY INFO WITH PAYPALBEFORE YOU CAN CONTINUE AND BE SURE TO TYPE YOUR EMAIL ADDRESS SO THE RECEIPT IS SENT TO YOU. IF YOU RUN INTO AN ISSUE THAT SAYS THIS TRANSACTION ALREADY EXISTS, YOU WILL NEED TO CLEAR YOUR BROWSER AND RE-REGISTER YOUR CHILD/CHILDREN.


IMPORTANT INFORMATION FOR PARENTS REGISTERING MORE THAN 1 CHILD

AFTER COMPLETING THE FIRST PAGE OF THE REGISTRATION FORM FOR YOUR 1ST CHILD, CLICK ON “SUBMIT AND COMPLETE ANOTHER FORM”, AND MAKE SURE TO CHANGE YOUR SELECTION TO “2ND CHILD, 3RD CHILD, ETC”! THEN AFTER COMPLETING THE FIRST PAGE FOR ALL YOUR CHILDREN, CLICK THESINGLE SUBMITBUTTON. REGISTERING YOUR CHILDREN SEPARATELY WILL RESULT IN EACH REGISTRATION BEING CHARGED THE $100 FUNDRAISING FEE INSTEAD OF THE CORRECT $100 PER FAMILY FUNDRAISING FEE.


FEES

A $100 FAMILY FUNDRAISING FEE WILL BE ADDED TO YOUR TOTAL AT CHECKOUT, WHICH YOU CAN RECOUP BY SELLING YOUR BOOK OF RAFFLE TICKETS. THERE WILL BE A $25 LATE FEE AFTER APRIL 10TH. IF A JERSEY FOR U9+ IS NOT RETURNED, A $25 FEE WILL BE IMPLEMENTED.


PLAYER INFORMATION

PLEASE FILL IN ALL REQUIRED INFORMATION.

DIVISION/AGE GROUP INSTRUCTIONS

PLEASE SELECT THECORRECTDIVISION/AGE GROUP FOR YOUR CHILD USING THE DROPDOWN GUIDE BELOW. IF A CHILD IS REGISTERED IN THEWRONGDIVISION/AGE GROUP, THEY WILL BE AUTOMATICALLY REMOVED TO THE CORRECT ONE. ALL REQUESTS TO “PLAY UP A LEVELNEED TO BE EMAILED TO OUR TEAM CREATION CHAIR, SHELLEY AT DSBERRY@TELUS.NET PLEASE INCLUDE YOUR CHILD’S NAME, DOB AND REASON FOR THE REQUEST. OUR TEAM WILL ASSESS YOUR REQUEST AND GET BACK TO YOU AS SOON AS POSSIBLE. TEAMS ARE CREATED AS FAIR AND EQUAL AS POSSIBLE.

CHILDREN BORN IN 2017 & 2018 ARE IN U5
CHILDREN BORN IN 2015 & 2016 ARE IN U7
CHILDREN BORN IN 2013 & 2014 ARE IN U9
CHILDREN BORN IN 2011 & 2012 ARE IN U11
CHILDREN BORN IN 2009 & 2010 ARE IN U13
CHILDREN BORN IN 2007 & 2008 ARE IN U15
CHILDREN BORN IN 2005 & 2006 ARE IN U17
CHILDREN BORN IN 2003 & 2004 ARE IN U19

PLAYER’S MEDICAL CONDITIONS, MEDICATIONS AND/OR ALLERGIES

PLEASE LIST THE PLAYER’S MEDICAL CONDITIONS, MEDICATIONS AND/OR ANY ALLERGIES YOU FEEL THE COACHING STAFF SHOULD BE AWARE OF IN THE SPACE BELOW.


PARENT/GUARDIAN INFORMATION

PLEASE FILL IN THE FOLOWING INFORMATION. PLEASE CHECK THE BOX ABOVE THE ADDRESS FIELD IF YOUR ADDRESS IS THE SAME AS THE PLAYER’S. ONLY FILL IN YOUR ADDRESS IF IT IS DIFFERENT THAN THE PLAYER’S ADDRESS YOU FILLED OUT IN THE PLAYER INFORMATION SECTION.

ONLY FILL IN GUARDIAN 1’S ADDRESS BELOW IF IT IS DIFFERENT THAN THE PLAYER’S ADDRESS

ONLY FILL IN GUARDIAN 2’S ADDRESS BELOW IF IT IS DIFFERENT THAN THE PLAYER’S ADDRESS


SUBSIDY REGISTRATIONS

PLEASE ENSURE YOU HAVE COMPLETED YOUR ONLINE SUBSIDY APPLICATION BEFORE YOU FILL OUT THIS SOCCER REGISTRATION FORM. THE LINKS FOR THE SUBSIDY AGENCIES (KIDSPORT & JUMPSTART) ARE ON THE HOME PAGE OF OUR WEBSITE AND CAN BE FOUND IN THE ROTATING DISPLAY WINDOW. INFORMATION THAT YOU NEED TO INCLUDE ON YOUR APPLICATION ABOUT OUR ORGANIZATION IS ALSO PROVIDED THERE. ONCE YOU HAVE COMPLETED YOUR ONLINE SUBSIDY APPLICATION AND SUBMITTED IT TO EITHER KIDSPORT OR JUMPSTART, PLEASE EMAIL YOURCONFIRMATION EMAIL” TO SHELLEY (REGISTRAR) AT DSBERRY@TELUS.NET. IT IS YOUR RESPONSIBILITY TO INFORM OUR REGISTRAR WHEN YOU RECEIVE NOTIFICATION FROM THE SUBSIDY AGENCY ON WHETHER YOUR CHILD/CHILDREN ARE APPROVED OR NOT APPROVED FOR FUNDING. PLEASE ENSURE YOU DO NOT INCLUDE THE $100 FUNDRAISING FEE ON YOUR SUBSIDY APPLICATION FORM! PLEASE ENSURE YOU CHECK OFF KIDSPORT OR JUMPSTART ON THIS REGISTRATION FORM. YOU CAN RECOUP YOUR $100 FUNDRAISING FEE BY SELLING YOUR 1 BOOK OF RAFFLE TICKETS. EVEN THOUGH YOUR TOTAL WILL BE THE REGISTRATION FEE OF THE AGE GROUP YOUR CHILD IS REGISTERED IN PLUS THE $100 FUNDRAISING FEE, PLEASE ENSURE YOU ONLY PAY THE $100 FUNDRAISING FEE ONLINE OR BY E-TRANSFER. IF YOU’RE APPROVED BY KIDSPORT OR JUMPSTART, PLEASE NOTIFY SHELLEY AND KIDSPORT/JUMPSTART WILL SEND A CHEQUE FOR YOUR CHILD/CHILDRENS REGISTRATION FEE/S. ALL INFORMATION WILL BE KEPT CONFIDENTIAL.


VOLUNTEERING

A SUCCESSFUL PROGRAM DEPENDS ON THE SKILLS AND TALENTS OF VOLUNTEERS. A FAMILY MUST CHOOSE AT LEAST ONE AREA OF INTEREST, BUT MAY CHOOSE MORE IF THEY WISH. IF YOU SELECTED AN AREA OF INTEREST ON YOUR 1ST CHILD’S REGISTRATION FORM, PLEASE FEEL FREE TO CHECK OFF THEVOLUNTEERED WITH 1ST CHILDOPTION ON YOUR 2ND, 3RD, ETC CHILD’S REGISTRATION FORM. ALL COACHING STAFF (COACHES, ASS’T COACHES, MANAGERS & BENCH PARENTS) NEED TO PROVIDE US WITH A “CLEAR CRIMINAL RECORDS CHECK” (CPIC). ONCE ALL COACHING STAFF HAS BEEN SELECTED, THE REGISTRAR WILL SUPPLY THE REQUIREDVOLUNTEER LETTERTHAT THE PEOPLE SELECTED WILL NEED TO TAKE TO THE RCMP. THE PROVIDED LETTER INFORMS THE RCMP THAT YOU ARE A VOLUNTEER WITH VEGREVILLE SOCCER AND YOU WILL NOT BE CHARGED FOR THIS SERVICE. I BELIEVE IT TAKES ABOUT A WEEK TO GET THE CRIMINAL RECORD’S CHECK COMPLETED (CHECK WITH THE RCMP) AND YOU WILL NEED TO GO BACK OR CALL THEM TO SEE IF IT IS READY FOR YOU TO PICK UP. ONCE YOU PICK IT UP, PLEASE SEND A COPY TO SHELLEY AT DSBERRY@TELUS.NET OR A CLEAR PICTURE TEXTED TO 587-280-0771. YOU SHOULD KEEP YOUR ORIGINAL. CRIMINAL RECORDS CHECKS ARE GOOD FOR 3 YEARS WITH VEGREVILLE SOCCER.

PLEASE CHOOSE AT LEAST ONE OF THE FOLLOWING AREAS OF INTEREST TO FULFILL YOUR VOLUNTEERING REQUIREMENT. IF YOU HAVE MORE THAN 1 CHILD, CHECK THE OPTION VOLUNTEERED WITH 1ST CHILD.


FUNDRAISING

IN ORDER FOR VEGREVILLE SOCCER TO KEEP OUR OUTDOOR REGISTRATION FEES AFFORDABLE TO ALL FAMILIES, WE REQUIRE EACH FAMILY TO SELL OR BUY 1 BOOK OF RAFFLE TICKETS. A $100 PER FAMILY FUNDRAISING FEE WILL BE ADDED TO YOUR TOTAL AT CHECK OUT. (THE FUNDRAISING FEE WILL SHOW AS $111.11 FOR THE EARLY REG PERIOD BECAUSE THE SYSTEM TAKES 10% OFF ALL FEES, YOU WILL ONLY BE CHARGED THE $100). YOU ARE ABLE TO RECOUP YOUR $100 FAMILY FUNDRAISING FEE BY SELLING YOUR BOOK OF RAFFLE TICKETS, SHOULD YOU CHOOSE THAT OPTION. SINCE YOU’VE PAID FOR THEM IN ADVANCE WITH YOUR REGISTRATION FEES, YOU KEEP THE CASH YOU COLLECT FOR SELLING THE TICKETS AND ONLY TURN IN YOUR TICKET STUBS THAT HAVE THE PEOPLE’S NAMES ON THEM. LIKE PREVIOUS YEARS, YOU ALSO HAVE THE OPTION TO BUY THE BOOK OF RAFFLE TICKETS YOURSELF AND YOU EVEN HAVE THE OPTION OF HAVING THE REGISTRAR FILL OUT YOUR BOOK OF RAFFLE TICKETS FOR YOU. PLEASE CHECK THE BOX BELOW TO CONFIRM AND ACCEPT YOUR FUNDRAISING COMMITMENT.

FUNDRAISING SPECIAL INSTRUCTIONS

IN THE SELECTION BELOW, PLEASE ENSURE YOU CHOOSE THE CORRECT SELECTION. FOR REGULAR REGISTRATIONS, IF IT IS YOUR 2ND, 3RD, 4TH, ETC CHILD’S REGISTRATION FORM, PLEASE ENSURE YOU CHOOSE THEFUNDRAISING COMMITMENT FULFILLED ON CHILD 1’S REGISTRATION FORMOPTION. THIS IS A “FAMILY FUNDRAISING FEE”, NOT PER CHILD.

*******VERY IMPORTANT*******

PLEASE ENSURE YOU ARE CHANGING THEDEFAULT” OF 1ST CHILD FOR YOUR 2ND, 3RD, 4TH, ETC CHILD! THE SYSTEM CHARGES THE $100 FUNDRAISING FEE FOR THE PHRASE “1ST CHILD”, SO IF YOU LEAVE IT AS “1ST CHILDFOR YOUR 2ND, 3RD, ETC REGISTRATION, IT WILL CHARGE THE $100 FUNDRAISING FEE FOR EACH REGISTRATION! IT’S A DROPDOWN MENU, WHERE YOU NEED TO SELECT 2ND, 3RD, 4TH, ETC FOR EACH REGISTRATION!


VMSA/LAKELAND CODE OF CONDUCT, INFORMED CONSENT (YOUTH WAIVER), PLAYERS CODE OF CONDUCT

PLEASE ENSURE YOU GO UNDER THE REGISTRATION TAB ON OUR WEBSITE TO READ THE ABOVE DOCUMENTS BEFORE SIGNING YOUR INFORMED CONSENT BELOW!

CONSENT

I HEARBY GIVE MY CONSENT FOR MY CHILD TO PARTICIPATE IN VEGREVILLE MINOR SOCCER ASSOCIATION’S PROGRAMS. HE/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 VMSA’S WEBSITE, VARIOUS NEWSPAPERS AND/OR SOCIAL MEDIA, SUCH AS VMSA’S FACEBOOK PAGE. IF MY CHILD IS REGISTERED IN U9+ PROGRAMS, I AGREE TO RETURN MY CHILD’S JERSEY TO THEIR COACH OR TEAM MANAGER AT THE END OF THE SEASON. I ACKNOWLEDGE AND AGREE IF I DO NOT RETURN MY CHILD’S JERSEY (ONLY APPLIES TO U9+) FOR ANY REASON BY THE END OF THE SEASON, I WILL SEND A $25 E-TRANSFER PER JERSEY AFTER THE EQUIPMENT RETURN DATE TO DSBERRY@TELUS.NET. I ACKNOWLEDGE THAT VMSA MUST RECEIVE THIS E-TRANSFER BY JUNE 30TH, 2022. 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. I ACKNOWLEDGE AND AGREE TO ABIDE BY ALL STATEMENTS MADE IN THE PARENTS LAKELAND/VMSA CODE OF CONDUCT AND I FULLY UNDERSTAND THAT BY CHECKING THE BOX BELOW, I’M ACKNOWLEDGING THAT I HAVE READ THE YOUTH WAIVER, THE PARENTS CODE OF CONDUCT AND HAVE READ THE PLAYERS CODE OF CONDUCT TO MY CHILD. I AGREE THAT BY CHECKING THE BOX BELOW, THIS IS CONSIDERED THE SAME AS MY SIGNATURE FOR THESE DOCUMENTS. I ACKNOWLEDGE AND AGREE THAT MYSELF, MY FAMILY MEMBERS AND MY CHILD WILL ABIDE BY ALL VMSA AND THEIR AFFILIATES (AB SOCCER, LAKELAND) RULES & REGULATIONS.

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