Membership Registration & Fall Program Sign Up

Membership Registration & Fall Program Sign Up

Register your child(ren), and complete the media and medical waivers.
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you registered with any other BC soccer clubs?
Child Registration
IMPORTANT WAIVERS

As part of our NCFC activities, we frequently capture photos and videos of our players during games, practices, and team events. We love to share these moments to celebrate our athletes, update parents, and promote our team on social media (e.g., Facebook, Instagram, TikTok) and our official website.

Please review the options below and indicate your preferences for your child.
Medical Release
Liability Release
Finalize Club Registration
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Club Registration Fee
$25.00 CAD Number of children

Program Sign up Fee
$40.00 CAD Number of Children

Total

$0.00 CAD
PLEASE READ CAREFULLY:

Once you submit your form, you will need to pay the total fee by e-transfer to confirm a spot for your child.

E-transfers can be made to admin@nanaimocityfc.com
Parent/Guardian Signature
Should be Empty: