presents Victoria Highlanders Soccer Camps

Step 1. Player contact information
*First Name:
*Last Name:
*Gender: M F
*Address:
Address Line 2:
*City:
*Province:
*Postal Code:
*Evening Phone:
Mobile Phone:
*Player's Birth Date:
*Email address:
*Medical Insurance No:
*Parent/Guardian:
*Emergency Phone:
Step 2. Tryout/personal information
* What program are you registering for? Hold down Ctrl for multiple selection
* Preferred position: * Kicking foot: Left Right Both
* Height: * Weight: (lbs.)
Step 3. Additional information
* Club Team:
Level (Metro, Gold, Silver, Bronze):
* Shirt Size:

Payment Options:
Call the office at 250-590-8432 to pay by credit card

or

Cheques are payable to Victoria Highlanders FC
Attn: Highlanders Soccer Camps

 


Contact Information

Mailing Address:
Victoria Highlanders FC
#108 - 1913 Sooke Road
Victoria, BC
V9B 1V9


Office Telephone: 250-590-8432