Linden Woods Community Centre powered by GOALLINE.ca

Ultimate U14 South West Winnipeg Community Centre League
U14 (Ages 11 to 14) - Born between 1/1/2011 and 12/31/2014
10 Week Season - Running June 24, 2025 to August 26, 2025

Cost: $95 LWCC Club Fee & $15 MODS Membership Fee (Manitoba Organization of Disc Sports)

Please register & pay for your Mods Membership here: mods.mb.ca/account/login/
MODS Membership is required to participate in the Leauge.

* Indicates Required Field

Athlete Information

Are you a returning Athlete?

Yes No

First Name *

Last Name *

Birthdate *

Access Code

(Only returning players need to enter the Access Code.)

What's my Access Code?

Email Address *

Gender *

Male Female

Health Card Number *

Address *

City / Hometown *

Province *

Postal Code *

Phone Number *

Secondary Phone Number

Parent/Guardian Information

Is Parent/Guardian an account holder? *

yes no

Selecting that this parent is an account holder restricts the player's access to certain functions within their membership account

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Parent/Guardian Birthdate *

Parent/Guardian Phone Number *

Use Above Address

Parent/Guardian Address *

Parent/Guardian City *

Parent/Guardian Postal / Zip Code *

Will you volunteer as the Head Coach *

Yes
No

Will you volunteer as an Assistant Coach? *

Yes
No

Teammate request

Parent/Guardian 2 Information

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Secondary Phone Number

Use Above Address

Parent/Guardian 2 Address

Parent/Guardian 2 City

Parent/Guardian 2 Postal / Zip Code

Please review all answers to all information prior to continuing!