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TORONTO
LYNX JUNIORS TRYOUT REGISTRATION FORM |
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2013 Super Y US Age Groups |
Date of Birth |
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U14 Boys Development Program |
1999 and Aug. 1 1998 and later |
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U15 Boys |
1998 and Aug. 1 1997 and later |
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U16 Boys |
1997 and Aug. 1 1996 and later |
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U17 Boys |
1996 and Aug. 1 1995 and later |
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U18 Boys Senior Academy |
1995 to Aug. 1 1994 and later |
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16 Girls |
1997 and Aug. 1 1996 and later |
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U17 Girls |
1996 and Aug. 1 1995 and later |
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U18 Girls Senior Academy |
1995 to Aug. 1 1994 and later |
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Important: Please enter information in ALL fields. |
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Player's Name:
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Address : |
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City: |
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Province: |
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Postal Code: |
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Home Telephone: |
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Cell Phone: |
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Email Address: |
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Birth Date: |
(MONTH)
(YEAR) |
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Position:
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Boys:
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Girls: |
U16 Girls |
U17 Girls |
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Senior Academy: |
U18
Boys |
U18
Girls |
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Please submit a
brief player profile including last Club played for and what
level. |
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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 |
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MEDICAL |
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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. |
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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. |
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MISCELLANEOUS |
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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. |
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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.) |
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I HAVE READ AND AGREE TO THE
TERMS OF THE WAIVER ABOVE
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Please email
admin@torontolynxsoccerclub.com
if you have any questions or to submit your full player profile |
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