Player Registration

Select your team

First Name

Last Name

Email Address

DOB

Gender

Male

Female

Registration Number - Leave empty if unknown

Address

Address Line 2

City

Province

Postal Code (K2K2K2)

Phone Number (555-555-5555)

Has the player ever registered to play soccer in another country?

Yes

a) In which country (other than Canada) did the player last register? (If applicable)

b) With which Club/League did the player last register in another country? (If applicable)

c) In which year did the player last register in another country? (If applicable)

Bay of Quinte Women's Soccer League