Registration Form

*Only teams with a minimum of 8 players will be accepted.

Membership Level change
You have selected the Burnaby Co-ed Winter League membership level. The price for membership is $1,200.00 now.

Account Information Already have an account? Log in here
Username Password Confirm Password E-mail Address Confirm E-mail Address Phone Number * Team name Division * Name - Teammate 1 * Email Address - Teammate 1 * Name - Teammate 2 * Email Address - Teammate 2 * Name - Teammate 3 * Email Address - Teammate 3 * Name - Teammate 4 * Email Address - Teammate 4 * Name - Teammate 5 * Email Address - Teammate 5 * Name - Teammate 6 * Email Address - Teammate 6 * Name - Teammate 7 * Email Address - Teammate 7 * Name - Teammate 8 * Email Address - Teammate 8 * Name - Teammate 9 Email Address - Teammate 9 Name - Teammate 10 Email Address - Teammate 10 Name - Teammate 11 Email Address - Teammate 11 Full Name LEAVE THIS BLANK

Account Information Already have an account? Log in here

Username

Password

Confirm Password

E-mail Address

Confirm E-mail Address

Phone Number *

Team name

Division *

Name - Teammate 1 *

Email Address - Teammate 1 *

Name - Teammate 2 *

Email Address - Teammate 2 *

Name - Teammate 3 *

Email Address - Teammate 3 *

Name - Teammate 4 *

Email Address - Teammate 4 *

Name - Teammate 5 *

Email Address - Teammate 5 *

Name - Teammate 6 *

Email Address - Teammate 6 *

Name - Teammate 7 *

Email Address - Teammate 7 *

Name - Teammate 8 *

Email Address - Teammate 8 *

Name - Teammate 9

Email Address - Teammate 9

Name - Teammate 10

Email Address - Teammate 10

Name - Teammate 11

Email Address - Teammate 11

Full Name LEAVE THIS BLANK

Billing Address
First Name Last Name Address 1 Address 2 City State Postal Code Country Phone

Please send any payments via etransfer to payment@roundball.ca with your team name in the memo.

Processing...

*Please send all payments via etransfer to payment@roundball.ca with your team name in the memo.