Prairie Combat League
Season 1 Registration Form Registration closes February 28
Registration fees: $162.08
Due March 4 2025. If your fees are not paid by Draft night your spot will be filled. Fees can be e-transferred to pclregina@gmail.com
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Female
Male
Are you submitting a team?/squad/duo
Please Select
Yes
No
If yes please include ALL of their Real Names and Game Tag (Note you will have to make a new iCombat account for the PCL, this is to track states better)
Game Tag you would like to use. And one alternate name in case your first choice is taken
Current iCombat Tag
Please upload photo of Sask ID (For age verification)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Emergency contact name
First Name
Last Name
Emergency contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I, the athlete, agree with the following statements:
I am physically able to take part in the activities.
I know there is a risk of injury. I understand the risks.
I will respect and obey all rules laid out by District 306 and the PCL.
I am at least 19 years old
I understand that the PCL is not liable for any injuries sustained during or due to league play
Breakdown of fees
$142.08 for facility fees. $20 Registration Fee (awards, etc.)
Date
-
Month
-
Day
Year
Date
Signature (Athlete or Parent/guardian)
Submit
Submit
Should be Empty: