Soccer Chelsea 2017 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 18, 2017

Parent or guardian paying Name
Phone Email
Other parents/guardians Name
Phone Email
Born In Category (A) Player Name (B) Fee (C) $
2012/2011 U05/U06 $160.00
2012/2011 U05/U06 $160.00
2010 U07 $160.00
2009 U08 $160.00
2008/2007 U09/U10 $200.00
2008/2007 U09/U10 $200.00
2006/2005 U11/U12 $210.00
2006/2005 U11/U12 $210.00
2004/2003 U13/U14 $210.00
2004/2003 U13/U14 $210.00
2002/2001 U15/U16 $220.00
2002/2001 U15/U16 $220.00
2000/1999 U17/U18 $220.00
2000/1999 U17/U18 $220.00
Before 1999 SO Senior Men $230.00
Before 1999 SO Senior Women $230.00
Before 1999 SO Mixed Recreational $230.00
Before 1982 Old-Timers & Masters (OCSL)1 $220.00
Before 2001 Chelsea Rec Mixed-Pick-up2 $65.00
Before 2001 Chelsea Rec 7x7 Mixed2 $65.00
1Ottawa-Carleton Soccer League: Old-Timers are born before 1982; Masters are born before 1967.  2Registered U17 and older players may play Chelsea Rec Mixed, Sunday night pick up, or 7x7 House League evening, soccer for free but must register separately   (D) Total
(E) Date
Comments:
Cheque payable to 'Soccer Chelsea'  

 Remarks:

U Calculator

Year of birth:

 

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