2015 - Payment 1

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Burlington Youth Soccer Club Registration - Receipt

Page 1 of 2

Burlington Youth Soccer Club


5230 South Service Road2nd Floor, Burlington, ON L7L 5K2

Summary for Order 72836


Date

Desc.

Type

Purchases

Feb. 11, 2015

Payments

$215.00
Yan Wu MASTERCARD ID:
03532Z

Feb. 11, 2015

Online
Payment

$215.00

Totals:

$215.00

$215.00

Note: Certain Refunds made to your account will not appear on this statement.

Receipt
Order: 72836 Conf#: 01317220150211175400
To:
Yan Wu
5848 Page Cres
Burlington, ON
L7L 7P1
905-336-6181
wylgn@hotmail.com
Wednesday, February 11, 2015
Player

DOB

Item

Qty.

Price

Cost

2015 Competitive Registration U13B (2002)


Payment 1
Kevin Lin

2002/02/21

Registration is only for players who have received an

$215.00 $215.00

invitation to join the competitive teams. For players born


in 2002 trying out or assigned to a Competitive Team

Subtotal: $215.00
Discount:

$0.00

Total: $215.00
Status: Order Processed

https://members.burlingtonsoccer.com/registration/Default.asp?page=RECEIPT&order_id...

2/11/2015

Burlington Youth Soccer Club Registration - Receipt

Page 2 of 2

for Kevin Lin


2015 Competitive Registration U13B (2002) Payment 1
Please provide the following information
With which club did the player last register?:

BYSC

In which country did the player last register?:

CANADA

In which year did the player last register?:

2014

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

No

If Yes, answer the following questions


In which country (other than Canada) did the player last register?:
With which Club did the player last register in another country?:
In which year did the player last register in another country?:
I have read and understand the OSA WAIVER. I agree to abide by the
REGISTRATION RULES and also the Published Rules of the Ontario Soccer
Association, my league, and the Burlington Youth Soccer Club, including the BYSC's
ZERO TOLERANCE POLICY, which would include the de-registration of this player.:

5230 South Service Road 2nd Floor


Burlington, ON L7L 5K2

Agree

Burlington Youth Soccer Club


(w) http://www.burlingtonsoccer.com/
(e) registration@burlingtonsoccer.com
(T) 905-333-0777

https://members.burlingtonsoccer.com/registration/Default.asp?page=RECEIPT&order_id...

2/11/2015

You might also like