LaunchTrack

Returning Players - $50.00

New Players - $75.00

Registration/Hotel Accommodations - $150.00

Method of Payment:

First name:

Last name:

Position:

Date of Birth:

e.g. mm/dd/yyyy

Email:

Parent/Guardian Email:

*PLEASE enter your Mobile Cell Phone; event updates are sent via text!*

Athlete Mobile Phone:

Parent/Guardian Mobile Phone:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Address:

Address2:

City:

Province / State:

Postal / Zip Code:

Provincial Health Care Number:

Shirt size:

VISITING ATHLETES DO YOU NEED GEAR? It is HIGHLY suggested you borrow and bring gear from your local high school or program. If you can not do this, the Rebels can arrage gear with a pre-camp notice. Will you need gear?:

VISITING ATHLETES TRAVEL ARRIVAL; please include flight or ferry arrival time and flight number. Pick up from airport and ferry terminal is 3:00pm on Friday - May 4:

VISITING ATHLETES TRAVEL DEPARTURE; please include flight or ferry departure time and flight number. Travel transportation will depart from Westhills Stadium on Sunday at 12:30pm and will drop off at Airport and Ferry at 1:30pm on Sunday - May 6:

*** New Players MUST Email Rebel Registrar a picture of their (a) Health Care Card AND (b) Birth Certificate or Passport. PLEASE just use your smart phone and take and then send a picture of both Care Card and Birth Certificate/Passport to: registration@westshorerebels.ca ***

Please list any alleries, etc:

Please list any comments or questions your may have:

**AFTER YOU REGISTER YOU WILL GET A CONFIRMATION EMAIL FROM: info@launchtrack.com CHECK YOUR SPAM FOLDER AS SOMETIMES THIS REGISTRAION CONFIRMATION EMAIL GETS ROUTED TO SPAM.**

If you would like to get a message to Rebels Head Coach, Charly Cardilicchia please email: headcoach@westshorerebels.ca If you have registrations questions please email: registration@westshorerebels.ca