2021 OSA Registration Form (St. Columban SC)

Print 2021 OSA Registration Form

St. Columban Soccer Registration 2021 - OSA

This form is for players who will be playing with an OSA competitive team in 2021. A separate registration form and payment must be submitted for each player.

If you experience issues with this form or have any questions, please email [email protected].
Select a Team^*

Player Info

First Name^*
Last Name^*

Birthdate^*

Open the calendar popup.

Gender^*
MF
Street Address^*
City^*
Province^*
Postal Code^*
Municipality^*
Huron EastWest PerthCentral HuronBluewaterOther
If Other Municipality, please specify
Player Phone Number (if applicable)

Example: ###-###-####
Player Email Address (if applicable)

A copy of this form will be sent to this email address.

Parent Info (required if player is under 18)

Parent 1 First and Last Name
Parent 1 Phone Number

Example: ###-###-####
Parent 1 Email Address

A copy of this form will be sent to this email address.
Parent 2 First and Last Name
Parent 2 Phone Number

Example: ###-###-####
Parent 2 Email Address

Example: [email protected]yourdomain.com

Other Info

Health Concerns/Allergies

Volunteering

I would like to volunteer to be on the St. Columban Soccer Executive Committee

Name of volunteer

Payment Options

If you need to make alternate arrangements for payment, please email [email protected] Payment must be received for all players prior to the start of the season.

Payment - OSA Fee 1st Payment - $75^*

I give my child permission to participate in the minor soccer activities of the St. Columban Soccer Club. In case of injury, the player and parents or guardian herewith waive all claims of any nature against the St. Columban Soccer Club, Directors, Executive, Coaches, Managers and any volunteers.

I agree to the terms and conditions stated above^*

Human Validation