Soccertron Registration Form

Please complete the following form, print it, and mail with your payment by cheque or money order.
Or use our new Online Registration instead.

Name of Child		Age
Address		Sex	M F
City		Home Phone
Postal Code		Work Phone
Name of Parent/Guardian
Name of Family Doctor		Phone
Soccer District played for
Attended Soccertron before?	Yes No
Allergies
Questions
Camp	Saanich Braefoot - Full Day Saanich Braefoot - Half Day Saanich Braefoot - Tots 9:15 AM Saanich Braefoot - Tots 10:30 AM Salt Spring Island - Full Day Salt Spring Island - Half Day Salt Spring Island - Tots 10:15 AM Salt Spring Island - Tots 11:30 AM Oak Bay High School - Full Day Oak Bay High School - Hald Day Oak Bay High School - Tots 9:15-10:15 AM Oak Bay High School - Tots 10:30-11:30 AM

Please mail this registration form along with payment to:

Soccertron
4436 Tyndall Ave.
Victoria, B.C. V8N 3S1