First Name
Last Name
Postal Code
Home Phone
Cell Phone
Birth Date
By clicking the "Submit" button on this registration form, you agree to the following:
I, the applicant, noted by the below name and signature, and members of my family, heirs, executors, administrators and assignees hereby forever release, discharge and hold harmless the British Columbia Soccer Association and the representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in soccer activities, and not withstanding that the same may have contributed to or occasioned by the negligence of the British Columbia Soccer Association or their representatives or agents.

Soccer Experience
No. of Years
Position(s) Played
inside mid-field
outside mid-field
full back (defense)
How did you hear of us?
Anything special we need to know?
Rate your fitness level:
Preferred  Method of Communication
dd/mm/yy please
IMPORTANT!  If you are pregnant or planning to become pregnant between now and July, please do not register for soccer in the spring/summer season. Our insurance company strongly advises that pregnant women should not be playing soccer at any stage of pregnancy.  The risk is just too great! Soccer is available to Shuswap women year round so you will be able to play again after baby is here.  Thank you.  
© 2018 ~ SWRSA
Last Updated: February 6, 2018
Registration for Outdoor Spring/Summer 2018
Season:  April 26 - June 28, 2018
Fees: $100 (payable before May 1 by cash or cheque)

Shuswap Women's
Soccer Association