2021 Tim Hortons U7 Soccer Jamboree

Fields * are required.

Team Name: *

Number of Players: *

Gender: *

Coach First Name: *

Coach Last Name: *

Coach Phone: *

Coach Email: *

Community Name: *

Jersey Colour: *

Your First Name: *

Your Last Name: *

Your Email Address: *

Phone #: *

Unit/Suite:

Street Address: *

City/Town: *

Province: *

Postal Code: *

Method of Payment: *

Online Payment

Note: Cash payment must be submitted to secure a spot.

Amount Owing:

$30.00

Note: A cheque must be submitted to secure a spot.

Amount Owing:

$30.00

I affirm that my zone is paying for this registration.

Amount Owing:

$30.00

Zone: *

Visa and Mastercard accepted only.

Amount Due:

$30.00

Cardholder Name: *

Credit Card #: *

(no dashes or spaces required)

Expiry Date: *

Event Details

Where:	EMSA West Charpentier Park (10058 - 231 Street NW)
Google Map:	View Map
Date(s):	Saturday, June 12, 2021 (rain out date Sun. June 13)
Cost:	$30.00 per team
Time:	10:00 to 16:00