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2010 NNISC Online Soccer Registration Form

Important Notes

1. Fees rise April 3, 2010. If you submit this form and payment on or before April 2, 2010 you will not have to pay the increased fee.

2. You are not fully registered with the NNISC until payment is received by the NNISC Executive Committee. Late registration does not guarantee placement on a team and will be on a best effort basis.

3. This is the registration process for the NNISC only; you will be provided with instructions at a later date on how to register as a player within the NCISL (to complete the EODSA requirements).
Personal Information

First Name:Last Name:
Street Address:
City:
Postal Code:
Home Phone:  Home Email:
Work Phone:  Work Email:
Gender: Female Male


Eligibility & Fee Information

Eligibility Definitions
RFT - You work at Nortel.
Return - You do not work at Nortel but you played on one of the Nortel teams in one of the last two seasons and started playing for the NNISC while working at Nortel and have not registered for any other NCISL club since that time.
Guest - You do not meet the eligibility requirements in 1 or 2.
Women - You are playing in the women's division (note: all women select this).


DivisionFee on or before April 2ndFee after April 2nd
Men's Division 1*  $170.00  $190.00
Men's Division 2  $130.00  $150.00
Men's Division 3,4  $130.00  $150.00
Women's Division 1,2  $130.00  $150.00

*Division 1 has linesmen for all games

Refund Policy

Full Refund: A full refund will be provided if the request is made prior to April 2nd.
Partial Refund: A partial refund will be provided after April 2nd if the request is made prior to the player registering with the NCISL. An administration fee of $25.00 will be deducted.

Charity Contribution  *Optional step

The NCISL has chosen The Children's Wish Foundation as their charity for 2010. In 2006 the NCISL raised over $7000 for The Children's Wish Foundation from player and Club contrbutions. Thank you!!

If you would like to make a $5.00 donation, please indicate on the following line:

  No donation  $5.00

If you choose to donate your registration fee will be automatically increased by $5.00.



Team Information

Please select the team you played for in 2009:
Please select the team you would like to play for in 2010:


Payment Information

In order to avoid the fee increase, payment must be received by the NNISC Executive Committee no later on or before April 2, 2010. Payment should be:

Mailed to:
Marc Gauthier
32 Finchley Drive
Nepean, ON
K2J 4Z1

Dropped off in person:
Internal Mail M/S 043/92/Z28 Attn Arya Rajabi
or
Call Arya Rajabi (32269) or 613-763-2269 to arrange drop off

Please note that cheques are to be made payable to BNR/NT Soccer Club. You MUST enclose two cheques - the first is the amount of your selected team fee and the second is for your jersey deposit (in the amount of $50.00, dated for September 30, 2010).

Please click to complete the on-line portion of your NNISC registration.