Soccer Registration :: Northern United FC

U9-U12 Winter Indoor 2023 Registration

* denotes required field

1. ChildInfo:
2. Contact Info
3. Guardian Info
4. Terms and conditions
5. Fees

Child Info:

*First Name:

*Last Name:

*Gender:

Male

Female

*Birth Date:

NUFC Players Kits (Jersey, Shorts and Socks) are mandatory!
The kits are NOT included in the price of the programs and cost an additional $45.
If you require a kit, please choose ‘Yes’ below with the correct sizes.

Do you need the NUFC player's kit? Yes:

This email will be used for all forms of contact from Northern United FC.

*Email:

Medical Information

Note: Care card number must be submitted prior to the start of the season.

*Care Card:

Family Doctor:

Doctor Phone:

Medical Notes:

Contact Information

*Street Address:

*City:

*Province:

*Postal Code:

Emergency Contact

*Name:

*Phone:

Alternate Phone:

Email:

Guardian 1

*Name:

*Phone:

Alternate Phone:

*Email:

Guardian 2

Name:

Phone:

Alternate Phone:

Email:

Terms and Agreement

By submitting this registration you agree to allow the Northern United Football Club to use photos, videos and other media for its website. You agree to release coaches, sponsors, volunteers, and association executive, from all liability, and waive, against the said coaches, sponsors, volunteers, and association executive, all claims of any kind whatsoever that you may have for any and all illness, injuries and/or losses suffered or sustained through participation in activities of the Northern United Football Club.

You must print and sign our waiver: