Kirkland Lake Weather

Over 18 Registration

To register for the 2019 Over 18 Division, please fill out the form below.

The registration fee for this season is: $125 Registration Fee & $50 Jersey Deposit. As there is no online pay system this year, payments can be made in cash or cheque to Kirkland Lake Soccer Association. An E-Transfer of $175 can also be sent to president@klsoccer.ca

**YOU WILL BE REQUIRED TO PAY YOUR REGISTRATION FEE WITH KIRKLAND LAKE SOCCER PRIOR TO THE SEASON STARTING**

Personal Information
Playing History

ATTENTION: The “PLAYING HISTORY” section MUST be completed – Any person who provides false information or withholds any of the required information will be suspended from all Ontario Soccer Association activities for one year.

Consent for Use of Personal Information

I authorize the Canadian Soccer Association, Ontario Soccer Association, Soccer North, and Kirkland Lake Soccer to collect and use personal information about me for the purpose of receiving communications from the Canadian Soccer Association, Ontario Soccer Association, District Association, 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.*

Acceptance of Terms and Conditions

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.

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

I am aware of The Ontario Soccer Association, (insert name of your District Association), (insert name of your 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 personal possessions and athletic equipment.

I accept all liability for any damage to the playing equipment caused by me careless, negligent and/or improper handling.

 

By signing and dating below you agree that you are the player being registered and to be bound by this Legal Agreement even if you have not read this agreement.

Signature
Date
Ontario Soccer Association Waiver and Release of Liability

By signing this form you give up important legal rights. Please read carefully!

 

This is a binding legal agreement. As a Participant in the programs, activities and events of the Ontario Soccer Association, their Districts, Leagues and Clubs, the undersigned acknowledges and agrees to the following terms.

Disclaimer

The Ontario Soccer Association, their Districts, Leagues and Clubs, directors, officers, members, employees, coaches, volunteers, officials, participants, clubs, agents, sponsors, owners/operators of facilities, and representatives (the “Organization”) are not responsible for any injury, damage or loss of any kind suffered by a Participant during, or as a result of, any program, activity or event, caused in any manner whatsoever including, but not limited to, the negligence of the Organization.

Description of Risks

In consideration of my participation as a Participant in such programs, activities and events, I hereby acknowledge that I am aware of the risks and hazards associated with or related to soccer. The risks and hazards of soccer include, but are not limited to injuries from:

 

•Executing strenuous and demanding physical techniques in soccer;

•Dryland training including weights, running, and massage;

•Grass, turf and other surfaces including bacterial infections and rashes;

•Falls to the ground due to uneven or irregular terrain or surfaces;

•Collisions with walls and soccer equipment;

•Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;

•Spinal cord injuries which may render me permanently paralyzed;

•Extreme weather conditions which may result in heatstroke, sunstroke or hypothermia;

•Contact, colliding or being struck by other participants, spectators, equipment or vehicles;

•Vigorous physical exertion and strenuous cardiovascular workouts;

•Exerting and stretching various muscle groups; and

•Travel to and from competitive events and associated non-competitive events which are an integral part of the organization’s activities.

  •  

Furthermore, I am aware:

•That injuries sustained in soccer can be severe;

•That I may come into close contact with other participants, including the possibility of accidental and unexpected contact;

•That I may experience anxiety while challenging myself during the activities;

•That my risk of injury is reduced if I follow all rules adopted during training; and

•That my risk of injury increases as I become fatigued.

Release of Liability

In consideration of the Organization allowing me to participate as a Participant, I agree:

a) To assume all risks arising out of, associated with or related to my participation;

b) To be solely responsible for any injury, loss or damage that I might sustain while participating; and

c) To release the Organization from liability for any and all claims, demands, actions and costs that might arise out of my participating, even though such risks, injuries, loss, damage, claims, demands, actions or costs may have been caused by the negligence of the Organization.

 

Accident Insurance

Executing this agreement will not preclude you from accident insurance coverage, subject to the terms and conditions of The Ontario Soccer Association’s insurance policy.

Acknowledgement

By signing and dating below you agree that you are the player being registered and to be bound by this Legal Agreement even if you have not read this agreement.

 

Name
Signature
Date
Security

Like us on Facebook

Sponsors