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TORONTO LYNX JUNIORS ID REGISTRATION FORM

OPEN TRYOUT DATES

Important: Please enter information in ALL fields.

Player's Name:  
Address :  
City:  
Province:  
Postal Code:   
Home Telephone:  
Cell Phone:  
Email Address:  
Birth Date:     (MONTH)    (YEAR)
Position:   
Boys Juniors:    U12 Boys      
Girls Juniors:    U14 Girls   U15 Girls    
Boys Elite / Super Y: 
 
     U16 Boys     U17/18 Boys  
Girls Elite / Super Y:      U16 Girls     U17/18 Girls    

Please submit a
brief player profile including last Club played for and what level.

Please read the waiver before submitting your registration information.   Agreeing to the terms
of this waiver are
required to secure a
trial with the
 Toronto Lynx

 
MEDICAL
Recognizing the possibility of physical injury associated with soccer and in consideration for the individual organization accepting the registrant for its programs and activities, I hereby release, discharge, and/or indemnify the Toronto Lynx and Premier Soccer Academy, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.
As the Parent or Legal Guardian of the above named player or Player over 18, I hereby give consent for emergency medical care provided by an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
MISCELLANEOUS
I understand that any personal information collected on Toronto Lynx  and Premier Soccer Academy forms is collected and intended to be used to enable the Toronto Lynx  and Premier Soccer Academy to deliver its programs to its members. My personal information will be kept secure and will not be shared with anyone other than those individuals charged with administering the Toronto Lynx  and Premier Soccer Academy programs or in cases where disclosure is required to participate in a sanctioned event.
I give my full permission to the Toronto Lynx and Premier Soccer Academy to use my (and that of the registrant) name, likeness, photographs, videotapes or other recordings of me (and the registrant) that are made during my participation in Toronto Lynx and Premier Soccer Academy events, for promotional purposes. (You may request an exclusion by sending an email to admin@torontolynxsoccerclub.com quoting the player name and reason for exclusion.)
I  HAVE READ AND AGREE TO THE TERMS OF THE WAIVER ABOVE 
 
   

 

Please email admin@torontolynxsoccerclub.com if you have any questions or to submit your full player profile