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.

Has the player ever registered to play soccer in another country?  Yes No
If Yes, answer the following questions:

1. In which country (other than Canada) did the player last register?
2. With which Club did the player last register in another country?
3. In which year did the player last register in another country?
4. Has the player ever registered to play soccer in Canada?   Yes No    If Yes Province:

I authorize the Canadian Soccer Association, the Ontario Soccer Association, Peel Halton Soccer Association and Bolton Wanderers Soccer Club to collect and use personal information about me for the purpose of receiving communications from The Ontario Soccer Association, District, 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 The Ontario Soccer Association, 7601 Martin Grove Road, Vaughan, Ontario L4L 9E4 - Attention:  OSA Privacy Officer.  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.*

In consideration of the acceptance of my membership in The Ontario Soccer Association, District Association and Club, I, the participant hereby 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 into The Ontario Soccer Association’s computerized registration system.
2. I have reviewed the waiver/participation agreement on the reverse of this form and my signature affixed hereto indicates my agreement with such waiver/participation agreement.
3. I am aware of The Ontario Soccer Association, Peel Halton Soccer Association, Bolton Wanderers Soccer Club and my League by-laws, policies, rules and regulations and agree to abide by them and to be bound by them.
4. I accept sole responsibility for my personal possessions and athletic equipment. 
5. I accept all liability for any damage to the playing equipment caused by my 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.

In the box below, you will give your digital signature. You must sign within the box much the same as you would sign a credit card receipt. You agree that this digital signature is in lieu of your physical signature and that Bolton Wanderers Soccer Club will honour this digital signing as your signature. Your registration will not be complete without term acceptance. 

                                                               
Please Type Digital Signature of Participant                                                            Date (DD/MM/YYYY)