Regina Minor Football

You are here: HOME REGISTER & PAY UNDER 16 PROGRAM
 
2017 U16 Registration

For Players Born in 2002 or 2003 - Opens Apr. 1/ 2017, Due by May 1/2017. Please fill out this form to register a player. Items with asterisks (*) are mandatory.

Email for Registration confirmation (*)

Invalid Input
Player's Last Name (*)

Please enter the Players Last Name
Player's First Name (*)

Please enter the Players first name
Player's Birthdate
You must select date below between Jan 1, 2002 and Dec 31, 2003. Click on the MONTH for dropdown selector. (*)


Please enter the player's birth date!
Health Card # (*)

Invalid Input
Player's Address (*)

Please enter the player's address
City (*)

Please the Player's City
Postal Code (*)

Please enter the Player's postal code
School (current) (*)

Please enter the school. Letters only
Grade of Student (current) (*)

Please enter the child's school grade as a numeric value.
Last Year's Team

Invalid Input
Who is the Primary Contact? (*)

Invalid Input
Mother's Name

Invalid Input
Mother's Contact Phone (306xxxxxxx format)

Please enter the Mother's Home Phone. Numbers only (306xxxxxxx format)
Mother's Email

Invalid Input
Father's Name

Invalid Input
Father's Contact Phone (306xxxxxxx format)

Please enter the Home Phone of the player's father (numbers only; 306xxxxxxx format).
Father's Email

Invalid Input
Position Last Played (*)

CHOOSE A POSITION THE PLAYER PLAYED LAST
Preferred Position (*)

Choose a preferred Position.
Practice Jersey Size (*)

Choose a jersey size

U16 2017 Registration Fee (*)

Select 1 only (Cheque/money orders due by May 1st to: Regina Minor Football 2000 Inc., PO Box 932, Regina, SK S4P 3B1)
Total Fees
0.00 CAD

Comments

Invalid Input


MEDIA RELEASE ACKNOWLEDGEMENT:
I, the parent or guardian of the above player do hereby grant permission for my child to be photographed/recorded/filmed by news media as part of RMF 2000 Inc. event(s) that may be covered by the news media. (*)



Invalid Input


Security Validation (5 letters)
<br/><br/>Security  Validation (5 letters)
  Refresh
Please enter the anti-spam security code (5 letters)
To Pay by cheque, money order or applying for Kidsport, hit Register Player then cancel out of paypal, send your cheque to: Regina Minor Football PO Box 932 Regina, SK. S4P 3B1
  



footballsask footballcanada