North York Hearts Soccer Club

Online Registration Form

Please complete the online Camp Registration Form for each child being registered and click submit
A reproduction of the inputted data will be loaded unto your computer screen
This is your confirmation page
Print two copies of this confirmation page, one for your records and one for the Club
Attach your Registration Cheque made payable to North York Hearts Soccer Club
Insert your child's/children name(s) on the cheque
All camp registrants must report to Field #4 [map] fifteen minutes before the start time
Choose one of the following: Half Day Camp, Full Day Camp
In order to receive a paid up receipt, you must provide us with a working email address
Mail completed Camp Registration form(s) with cheque to:

NORTH YORK HEARTS SOCCER CLUB
364 Supertest Road, Suite 207
Downsview, Ontario
M3J 2M2

Drop off at Field #4 [map] between 6:30 - 8:00 pm Monday - Thursday,
starting May 29th

PLAYER - INFORMATION
FIRST NAME:
LAST NAME:
GENDER:	Male Female
DATE OF BIRTH:	- - (mm-dd-yyyy) Note. The year of birth will be calculated based on age selected.
PLAYER AGE:
CONTACT INFORMATION
APT #:
ADDRESS:
CITY/TOWN:
POSTAL CODE:
TELEPHONE (Home):
TELEPHONE (Emergency):
EMAIL ADDRESS:
PARENT/GUARDIAN INFORMATION
FIRST NAME:
LAST NAME:
OTHER INFORMATION
TYPE OF PLAYER:	House League All Star/Rep

CAMP:
CAMP TYPE:
MARCH BREAK CAMP:
COSTS:	$ Dates: to Time: Click Here For Costs