Complete the Installment Player Registration Form


    $20 Online Fee has been added to the Basic $1075 Fee = $1095. PAYPAL PAYMENT Must Have Been Accepted Already.

    1. Player's First Name*:

    2. Player's Last Name*:

    3. Player Birthdate*: Month: Day: Year (enter 2007 or 2008):

    4. Gender*:MaleFemale

     

    Address1*:
    Address2 (if any):
    City*:
    Province*:
    Postal Code*:
    Email*:
    Phone*:
    Alternate Phone:
    Adult Name on Credit Card*:
    OHIP No. (optional):
    Emergency Contact Person*:
    Emergency Phone*:

    5. Player List of Allergies - Medical Information (optional):

    6. Jersey Size: YXSYSYMYLASAMALAXL

    7. Shorts Size: YXSYSYMYLASAMALAXL

    8. Socks Size: YSSML

    Note: If you check the acceptance boxes below, that is equivalent to a signature on a written form.

    9. I Accept the REFUND POLICY (None after October 15th): I Accept No Refund After Oct 15 2018 - equivalent to signature

    10. Fee: $1095

    Waiver & Policy Section:

    CONSENT FOR USE OF PERSONAL INFORMATION: I authorize Ontario Soccer, Scarborough Soccer Association and my Club (The East York Soccer Club) to collect and use personal information about me for the purpose of receiving communications from the Ontario Soccer Association, District Association, League and Club. I understand that I may withdraw consent to collection, use or disclosure of my personal information at any time by contacting the OSA Privacy Officer at OSAPrivacyOfficer@soccer.con.ca or by mail to: Attention of the OSA Privacy Officer, Ontario Soccer, 7601 Martin Grove Road, Vaughan ON L4L 9E4. We do not sell or distribute your personal information to any other third party not listed herein.

    REFUND POLICY - No Refund After October 15th, 2018
    No Refunds will be processed after October 15th – All requests for Withdrawal MUST be received in writing and will have a $150 administration fee deducted.
    Post-dated cheques will not be accepted. $50.00 fee for all NSF cheques.

    ACCEPTANCE OF TERMS AND CONDITIONS
    In consideration of the acceptance of my membership in Ontario Soccer, District Association and East York Soccer Club, I, the participant and parent/guardian (if participant is under 18 years of age), agree as follows:
    1. I understand that I 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.
    2. I have reviewed the waiver/participation agreement attached and my signature affixed hereto indicates my agreement with such
    3. I am aware of Ontario Soccer, Scarborough Soccer Association and East York Soccer Club and League bylaws, policies, rules and regulations and agree to abide by them and to be bound by them.
    4. I accept sole responsibility for personal possessions and athletic equipment.
    5. I accept all liability for any damage to the playing equipment caused by me careless, negligent and/or improper handling.

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

    11. I Accept the Waiver & Policy Section Above*: I Accept the Waiver & Policy Section - equivalent to signature

    Read the Parent Team Agreeement.
    12. I Accept the Parent-Team Agreement*: I Accept the Parent Player Agreement - equivalent to signature

    Note: If the payment was not completed, there will be no record kept of this application. If payment is completed, you will receive two notices. One from Paypal and one from EYSC.