Player Registration

Select your team

First Name

Last Name

Email Address

DOB

Gender

Male

Female

Registration Number - Leave empty if unknown

Address

Address Line 2

City

Province

Postal Code (K2K2K2)

Phone Number (555-555-5555)

Has the player ever registered to play soccer in another country?

Yes

a) In which country (other than Canada) did the player last register? (If applicable)

b) With which Club/League did the player last register in another country? (If applicable)

c) In which year did the player last register in another country? (If applicable)

Nipissing District Soccer Club