Clone of U12 - Team 10 - Power Play Soccer Registration Form 2026

U12 - Team 11 - Power Play Soccer Registration Form 2026

Bottom Lands Park Power Play Soccer runs from May to August. Every Wednesday night from 5pm-6:30pm
You will need to fill out one registration per child. Once you have completed the registration you can start a new registration form for the next child.

***ATTENDANCE NOTICE***

IF YOU FAIL TO ATTEND MORE THAN 4 CONSECUTIVE SESSIONS, YOU WILL BE REMOVED FROM THE PROGRAM.
Acceptance of Attendance Notice*

I accept and understand this condition
Have you applied to Power Play Soccer in the past?*

YESNO
If you have been registered in past Power Play Soccer seasons, select all the years of your participation.*

20182019202020212022202320242025Never
CHILD INFORMATION:
The Participant must be 10 years or 11 years of age to register and play*

The participant is between 10 and 11
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Male/Female/Optional*
Ethnicity
Are you in any of these CPYF programs?*

MASSTYARDISSPNone
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
House Hold Income*
UNIFORM INFORMATION
Do you have Cleats?*
Do you have Shin Guards?*
Cleat Size Needed (US Sizing)*

10 child11 child12 Child13 Child123456789101112I have cleats
Youth Shirt Needed*
Youth Shorts Needed*
Youth Socks Needed*
MEDICAL INFORMATION
Medical Concerns or Dietary Restrictions, other comments
The personal information that you provide to The Power Play Program is collected under the authority of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act - Section 33(c). The information will be used for the purpose of Registration.
Collected personal information is protected from unauthorized access, collection, use, and disclosure in accordance with the FOIP Act and can be reviewed upon request subject to the provisions under the Act. Questions regarding the collection of personal information can be directed to: The Youth Mentorship team - Calgary Police Service - 5111 47 St NE- Calgary, AB - T3J 3R2 - youthmentorship@calgarypolice.ca
Should be Empty:

U12 - Team 11 - Power Play Soccer Registration Form 2026

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

UNIFORM INFORMATION

MEDICAL INFORMATION