PLAYER REGISTRATION FORM

DATE & TEAM
Season Year:
Today's Date (mm / dd / yyyy):
Team Name:
PLAYER DETAILS - Name must be the same as on your BCDL, BCID, Passport or other government ID.
First Name:
Last Name:
Address:
City:
Province:
Post Code:
Phone:
Email:
Date of Birth:
Proof of annual BCSA senior registration - Sept. to Sept. on an 'A', 'B' or 'M' form.
Verification # 1 - BCSA registration number from your signed fall / winter form:
Registration #:
Verification # 2 - Your registered fall / winter league and team information:
League Name:
Team Name:
Division:
Manager's Name:
Manager's Phone No.:
Players unable to provide proof of current BCSA registration will pay $20 to play in the KSL.
The $20 cheque, made payable to Knight Soccer League, must note both player & team name and be sent to: 
Neil Fuge, KSL Treasurer, #2, 20148 - 102nd Avenue, Langley, B.C., V1M 4B4.
British Columbia Soccer Association Adult Player Waiver
BY SUBMITTING THIS PLAYER REGISTRATION FORM YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. CLICK HERE TO READ THE WAIVER TO WHICH YOU ARE CONSENTING.
By submitting this form you warrant that you have read and agree with all of the the above including the British Columbia Soccer Association Adult Player Waiver and that the information provided herein is accurate to the best of your knowledge.