Bear Creek Soccer Club

Fall 2008 Registration

 

* - Required Fields

 

Player's Information
* First Name:
Middle Initial:
* Last Name:
* Street Address:
* City:
* State:
* Zip: (99999-9999)
* Phone: (999-999-9999)
* Gender:
* Date of Birth: (mm-dd-yyyy)
* School:
* Grade:
Previous Coach:
Special Request: We do our best to honor all player and coach requests.
*** We can not honor requests for specific practice days or times.

Mother's Information
* First Name:
* Last Name:
Occupation:
* Home Phone: (999-999-9999)
Work/Cell Phone: (999-999-9999)
Email Address: Provide your e-mail address if you want to be notified when your payment has been received.
* Volunteer:
*** It is very important to volunteer to help your team and club, Board of Director positions are available.
Father's Information
* First Name:
* Last Name:
Occupation:
* Home Phone: (999-999-9999)
Work/Cell Phone: (999-999-9999)
Email Address: Provide your e-mail address if you want to be notified when your payment has been received.
* Volunteer:
Emergency Information
* First Name:
* Last Name:
* Phone: (999-999-9999)
* Relationship:
* Doctor's Name:
* Doctor's Phone: (999-999-9999)
Special Notes:

 

Registration Fees by Age Group
Birthday falls on or between:   Fee

8/1/2003 - 7/31/2004 (U5)

   $75.00

8/1/2002 - 7/31/2003 (U6)

   $75.00

8/1/1998 - 7/31/2002 (U7 - U10)

   $110.00

8/1/1992 - 7/31/1998 (U11 - U16)

   $125.00

 

Any refunds will be issued after October 15, 2008.

 

Please review all the information above.  If it is correct, press the submit button.  

 

You will be presented with a pre-filled registration form that you need to PRINT, fill in the registration fee section, sign and MAIL back to us.

 

Make checks payable to: BEAR CREEK SOCCER CLUB

 

Mail the form, along with your check, and a copy of your child's

birth certificate or passport to the address below

 

Bear Creek Soccer Club

P.O. Box 841712
Houston, TX. 77284

 

Are you ready to submit this information?