Registration / Programs Players's Full Name Email Address Birth Date Age Home Phone Mobile Phone Gender Male Female Allergies ? Yes No If you have an Allergy, what is it? OHIP (Health Insurance # Social Media & Marketing Can Player Participate in Club's Marketing Events Including But Not Limited To Social Media? Yes No Who Provided or Declined Consent for Player to Participate In Clubs Marketing ? Parent of Player under 16 Player age 16 and above Uniform Select Jersey Size Jersey (Large) Jersey (Medium) Jersey (Small) Jersey (Kids) XS Jersey (Kids) 11/12 Jersey (Kids) 9/10 Select Short Size Short (Large) Short (Medium) Short (Small) Short (Kids) XS Short (Kids) 11/12 Short (Kids) 9/10 Select Track Suit Size Track Suit Jacket (Large) Track Suit Jacket (Medium) Track Suit Jacket (Small) Track Suit Pants (Large) Track Suit Pants (Medium) Track Suit Pants (Small) Track Suit Jacket KIDS (XS) Track Suit Pants KIDS (XS) Previous Club? Player Position(s) Striker Attacking Midfield Defensive Midfield Winger Center Defense Wingbacks Goalkeeper Parent's Information Parent's Full Name Parent's Email Complete Home Address Parent's Best Number 9 + 6 = ? Password Are You Ready to Play Pro / Semi Pro ? Upload Video Upload ***Credit Card Information is Now Required for All Registration Type Of Credit Card ? VIsa MasterCard Visa Debit Full Name (as it appears on Card) Credit Card Number Expiry (MM/YY) 3 digits on the Back of Credit Card All Information are kept Confidential & Secure in an encrypted data vault offline and will be destroyed upon Leaving the Club. / Credit Card Will Not Be Debited If Payments are Made in Full or, are Paid on Time by the 5th of Each Month By hitting Submit, you agree to the terms & conditions of this registration form and the accuracy of the information provided Submit Registration