Name* First Last At what level do you want to help with ?*TykeMosquitoPee WeeBantamMidgetWhat Position are you registering for?*Head Coach/Entraineur-chefOffensive Coordinator-Coordonateur OffensifDefensive Coordinator/Coordonateur DéfensifAssistant Coach Offense/Entraineur Adjoint OffensifAssistant Coach Defense/Entraineur Adjoint DéfensifOther coachHow many years of experience?NCCP/PNCE#*Please enter your 7 digit coaching numberHave you completed the mandatory Safe Contact course?*YesNoRegistered this yearAFMO will be validating your certifications.Year completed*Have you completed the mandatory Making Headway online training?*YesNoRegistered this yearHave you completed the Community Sport U-14 course?*YesNoRegistered this yearAddress* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Telephone (cell)*Telephone (home)Telephone (work)Shirt size*Choose oneSmallMediumLargeXLargeXXLargeXXXLargeXXXXLargeXXXXXLargeBirth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Health card (RAMQ)*Format : ABCD-1234-5678Medical ConditionsCRIMINAL BACKGROUND CHECK* I consent to a criminal background checkAFMO will engage the services of a local police force to run "vulnerable sector" criminal background checks on all volunteers working directly with children. NCAFA Code of Conduct* I have read I have read and agree to abide by this Code of Conduct while a member of NCAFA.Click here to read the policy:NCAFA Code of ConductAFMO Social Media Policy for volunteers and coaches I accept the terms below.Click here to read the policy:AFMO Social Media policyAFMO Informed Consent about Concussions or Head Injuries for coaches and volunteers* I have read and understand this consent form, and I volunteer to participate.Click here to read the policy:AFMO Informed Consent about Concussions or Head Injuries for coaches/volunteersRESPONSIBILITY WAIVER (condition)* I accept the terms below The player, parent and/or guardian releases the administrators, coaches and volunteers of the OMFA (including the OMFL), a division of the NCAFA, of all responsibility in the case of injury, loss or damage to the person in result from the player’s participation. Consequently, the player, parent and/or guardian releases, saves harmless and indemnifies the administrators, coaches and volunteers of the OMFA from all claims, demands or actions in respect to death, injury, loss or damage to the person or property, wheresoever and howsoever caused, arising out of or in conjunction with taking part in the OMFA activities. I am conscious of the risks linked to the participation in this activity. I hereby authorize OMFA coaches and representatives to make a decision in the event that emergency care is required by my child.PHOTO RELEASE APPROVAL (condition)* I accept the terms below By registering in the OMFL, member of the Outaouais Minor Football Association (OMFA), I grant both the League and the Club unrestricted authority to use for media purposes (web, newspaper, etc.), promotional usage and communication to the public any photo or audio-visual material of my child taken during activities sanctioned by the OMFL (selection camps, training sessions, off-season and regular season games, etc.). I understand that I will receive no compensation should the said material be used for the stated purposes.CERTIFICATION* I accept the terms below I hereby certify that the above information is true and that I have read and fully understand the conditions set out in this document. I agree to abide by the conditions, regulations and codes of conduct of the OMFA and NCAFA.Your name*Date* Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.