Individual Registration Form - Soccer - Outdoor

Select your league:*
First Name:* Email:*
Last Name:* Gender:* MF
Birthdate(m/d/y):* Phone #:*
Where do you live?:* What is your play level?:*
How Did You First Learn of the CVSSC?:*    
Friends you want to play with:
Comox Valley Sport & Social Club Release, Waiver and Indemnity Agreement:
I agree to the waiver above    






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a sponsor,
or visit our
sponsors page
for more info.