Soccer Chelsea 2018 Fee Calculation Form

We urge you use our on-line registration (OLR) process and not this form, if you have played with our club before. With OLR you provide or update your personal information and then pay your fees by credit card. With OLR, there is no longer a need to supply a signed FSQ member affiliation form. See www.soccerchelsea.ca for details.

How to use this form

  1. Enter the information on parent/guardian & write the name(s) of player(s) in each age category in column (A)
  2. Circle the Fee in column (B) for each player
  3. Copy the circled amounts for each player in column (C) and add the total of the column in Box (D)
  4. Note any medical conditions, special requests (e.g. for specific teams) or other information in Remarks
  5. This form, your payment and all FSQ forms MUST be left in an ENVELOPE at the Meredith Center Reception

ONLY APPLICABLE FOR REGISTRATIONS FILED ON OR AFTER Saturday March 24, 2018

Parent or guardian payingName
PhoneEmail
Other parents/guardiansName
PhoneEmail
Born In Category (A) Player Name (B) Fee (C) $
2013/2012 U05/U06 $145.00
2013/2012 U05/U06 $145.00
2011 U07 $145.00
2010 U08 $145.00
2009/2008 U09/U10 $210.00
2009/2008 U09/U10 $210.00
2007/2006 U11/U12 $220.00
2007/2006 U11/U12 $220.00
2005/2004 U13/U14 $220.00
2005/2004 U13/U14 $220.00
2003/2002 U15/U16 $230.00
2003/2002 U15/U16 $230.00
2001/2000 U17/U18 $230.00
2001/2000 U17/U18 $230.00
Before 2000 SO Senior Men $235.00
Before 2000 SO Senior Women $235.00
Before 2000 SO Mixed Recreational $285.00
Before 1983 Old-Timers & Masters (OCSL)1 $56.00
Before 2002 Chelsea Rec Mixed-Pick-up $65.00
Before 2002 Chelsea Rec 7x7 Mixed $65.00
1Ottawa-Carleton Soccer League: Old-Timers are born before 1983; Masters are born before 1968. The OCSL team fee of $2200 must be paid by March 23, 2018. After that, it becomes $2400, not $2200.   (D) Total
(E) Date
Comments:
Cheque payable to 'Soccer Chelsea'  

 Remarks:

U Calculator

Year of birth:

 

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