Registration Information

Dates: March 9th, 10th, & 11th, 2012
Open to: Boys & Girls
Division: U9-U10 House/Advanced 7V7, U10 Dev, U11 & U12 8V8, U13–U18 11V11
Caliber: Metro, Gold, Silver, Bronze, Development
Fee: U9 & U10 $350. Early Bird registration $300
U11 - U18 $425. Early Bird registration $375
Early Bird cut-off Jan 15, 2012.
Tournament registration closes Feb 27th, 2012 or until group is full.
Contact: Tournament Registrar: Info@surreymayorscup.com.
NOTE: Please enter all required fields below. You will receive a confirmation email upon successful form completion. If not, please email the Tournament Registrar at Info@surreymayorscup.com.
"*" is a required field

Team Info:
*Age Group:
*Gender:
*Caliber:
*Club:
*Club Name:
*Team Name:
*Team's City:
*# of Players:

Coaches' Contact Info:
*Name:
*Home Phone: ()
*Cellular: ()
*E-mail:
*Street:
 *City: *Prov:
*Postal Code:

Alternate Contact Info:
Name:
Home Phone: ()
Cellular: ()
Email:
Questions/Requests:
* Waiver: I/We, the legal guardian(s) of the above named player, approve their participation in the CCBR activities. We also agree that the Central City Breakers Surrey Mayor's Cup, Central City Breakers Revolution (CCBR), nor any sponsors, coaches, managers, assistants and others involved will not be held responsible for any accidents or loss, and agrees to release any and all claims, demands and suits that may arise all coaches/managers for all claims and damages which may arise as a result of/or by reason of such accident or loss.
Total:
Payment method: