Provincial Premier Cup
Player Permit Form
SUBMISSION INSTRUCTIONS

Please see Rule 5f. Team Rules- Permits – Youth Provincial Competition Rules and
Regulations www.bcsoccer.net
 Complete section 1-3 and then submit to the Youth District for approval, the Youth District will then
forward the request onto BC Soccer who will review. If approved the team applying for the player
permit will be contacted.
 Please attach a copy of your team roster to this form for submission
Submit to the attention of:
Dan Turvill, Manager of competitions
Submit via one of the following: 1) Mail
BC Soccer Association Office
250 – 3410 Lougheed Highway, Vancouver, BC, V5M 2A4
2) Email:
[email protected]
1. TEAM INFORMATION
Name of Team applying to pick up a player:
Club Name:
Competition your team is competing in:
Youth
Boys
Girls
Provincial Premier Cup
U13
U14
U15
Name of Team Official requesting pick-up:
Position:
Phone:
Email:
Signature:
Name of Youth District:
U16
U17
Mobile:
Fax:
Date (dd/mm/yyyy):
2. GAME INFORMATION (For the game in which the player will permit)
Date of Game (dd/mm/yyyy):
Opponent:
3. REQUESTED PLAYER INFORMATION
Name of player requested for permit:
Date of Birth (dd/mm/yyyy):
Calibre of Play/Division:
Name of Current Team Official:
Position:
Phone:
Email:
Current Team:
Age Group:
Signature:
Mobile
Fax:
4. PLAYERS CURRENT YOUTH DISTRICT APPROVAL
District Chair/Registrar Name:
Phone:
Mobile
Email:
Fax:
Signature:
Date (dd/mm/yyyy):
5. PROVINCIAL APPROVAL
Name of BC Soccer Official:
Position:
Signature:
Date (dd/mm/yyyy):
U18
Other