West Grey Soccer Club Youth Player Registration Form printable pdf download

West Grey Soccer Club

YOUTH PLAYER REGISTRATION FORM









Season:

UTDOOR

ARENT

UARDIAN

NFORMATION

Name:

AST

IRST

NITIAL

LAYER

NFORMATION

Name:

AST

IRST

NITIAL

Mailing

Address:

TREET

UMBER, NAME & PO Box

ITY

OSTAL

ODE

ATE OF

OME

Phone:

IRTH

ELL

ORK

EAR

ONTH

MAIL



 

OSA R

EGISTRANT

ENDER

EMALE

ALE

Club Registration #: CD 0443

Club Name: West Grey Soccer Club

ONSENT FOR

SE OF

ERSONAL

NFORMATION

I authorize the Canadian Soccer Association, the Ontario Soccer Association, SWRSA and my Club to collect and use personal

information about me or my child/ward for the purpose of receiving communications from the Ontario Soccer Association,

SWRSA, League and Club.

I understand that I may withdraw such consent related to receiving communications at any time by contacting the OSA Privacy

Officer at OSAPrivacyOfficer@soccer.on.ca or by mail to: Attention: OSA Privacy Officer, Ontario Soccer Association,

7601 Martin Grove Road, Vaughan ON L4L 9E4. The Privacy Officer will advise the implications of such withdrawal.

*We do not sell or distribute your personal information to any other third party not listed herein.

CCEPTANCE OF

ERMS AND

ONDITIONS

In consideration of the acceptance of my or my child/ward’s membership in the Ontario Soccer Association, District Association and Club, I, the

participant and parent/guardian (if participant is under 18 years of age), agree as follows:

I understand that I or my child/ward cannot play in any sanctioned soccer game until after this registration form has been validated

and the registration data has been entered in The Ontario Soccer Association's computerized registration system.

I have reviewed the waiver/participation agreement attached and my signature affixed hereto indicates my agreement with such

waiver/participation agreement.

I am aware of The Ontario Soccer Association, SWRSA, West Grey Soccer Club and League bylaws, policies, rules and regulations

and agree to abide by them and to be bound by them.

I accept sole responsibility for my or my child/ward’s personal possessions and athletic equipment.

I accept all liability for any damage to the playing equipment caused by me or my child/ward’s careless, negligent and/or improper

handling.

I understand that my child's photo will be posted on the West Grey Soccer Club website, and could be posted in the newspaper.

I acknowledge that I have read this registration agreement in its entirety and that I have executed this registration agreement voluntarily.

_______________________________

______________________________________

______________________

Signature of Participant (If aged18 and over)

Signature of Parent/Guardian (If under 18)

Date

For Use by Club Registrar

Note: Club must retain a copy of the player registration

form and, if requested, must submit form to SWRSA or

Verification

the Ontario Soccer Association upon request.

of Birth Date

Birth Certificate

Player Book

Other

Registrar's Signature

Date

West Grey Soccer Club Youth Player Registration Form

Related Articles

Related forms

Related Categories