Step 1 of 8 12% What year were you born ?*20052006200720082009201020112012Did you play in the LFMO spring league this year ?*YesNoDid you register for the Vikings Spring Camp this year ?*YesNo Player's Name* First Last Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleSector*GatineauHullAylmerBuckinghamWeight*Height*Years of Experience*012345678910School Attended* Primary Contact*FatherMotherGuardianName* First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone (home)*Telephone (work)Telephone (cell)*Email* Enter Email Confirm Email OPTIONAL: Secondary Contact*FatherMotherGuardianNoneName First Last Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone (home)Telephone (work)Telephone (cell)Email Enter Email Confirm Email Health card (RAMQ)*Format : ABCD-1234-5678C) Have you ever suffered a head injury (concussion)?*YesNoIf yes, when?*Comments Concussion Informed ConsentAFMO Informed Consent about Concussions or Head Injuries for Players/Parents* 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 Players/ParentsPlayer Name*Date* Date Format: YYYY slash MM slash DD AFMO Informed Consent about Concussions or Head Injuries for Players/Parents* As parent or guardian, I have read and understand this consent form and I give permission for my child, named above, to participate. Parent/LegalGuardian Name:*Date* Date Format: YYYY slash MM slash DD Volunteer BondThe Gatineau Vikings is a VOLUNTEER run organization and without the commitment of our members, we would be unable to operate. The purpose of the volunteer bond program is to encourage parents to become actively involved in the operation and success of football in Gatineau. Many parents are unaware of just how much volunteer work is necessary to operate quality football programs. The volunteer bond program has been introduced to encourage members to step forward and help. The time commitment is not unreasonable and the help is beneficial and appreciated!! Click here to view the Volunteer task descriptions Requirements A minimum of about 5 hours of approved volunteer work per season is necessary to fulfill each family’s volunteer bond. Volunteer work done before the season (like during the training camp) does not count towards the fulfillment of this bond. Please note that only AFMO approved tasks will count towards a family’s volunteer commitment. Coaches and Team Managers do not have the authority to approve other tasks. All families of children playing with the Vikings must pay the family bond of $100 at registration. The Gatineau Vikings Football Club reserves the right to restrict the player's participation in team practices and games until such time as the deposit cheque has been received. Families earn back their bond when they fulfill their minimum commitmentMy First preference*Stick crew (all 4-5 local games)Field preparation (all 4- local games)Time Keeper (all 4-5 local games)Covenor (all 8-10 games)Cleaning half the team shirts (8-10 games)BBQ/stock to/from clubhouse50/50MerchandiseField CleanupCanteenCoachTrainerTeam managerMy Second preference*Stick crew (all 4-5 local games)Field preparation (all 4- local games)Time Keeper (all 4-5 local games)Covenor (all 8-10 games)Cleaning half the team shirts (8-10 games)BBQ/stock to/from clubhouse50/50MerchandiseField CleanupCanteenCoachTrainerTeam managerMy Third preference*Stick crew (all 4-5 local games)Field preparation (all 4- local games)Time Keeper (all 4-5 local games)Covenor (all 8-10 games)Cleaning half the team shirts (8-10 games)BBQ/stock to/from clubhouse50/50MerchandiseField CleanupCanteenCoachTrainerTeam manager PHOTO RELEASE APPROVAL (condition)* I accept the terms below By registering my child, I grant the Gatineau Vikings and the Outaouais Minor Football Association 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 OMFA (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 purposesRESPONSIBILITY WAIVER (condition)* I accept the terms below The player, parent and/or guardian releases the administrators, coaches and volunteers of the OMFA 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.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, MRFL, QBFL and NCAFA.Name of Parent / Guardian*Date* Date Format: MM slash DD slash YYYY REFUND POLICY* I accept the terms below It is important that there is a mutual understanding between parents and the Outaouais Minor Football Association regarding our refund policy. In order to run this not-for-profit youth sports organization, OMFA/AFMO has to prepay for insurance, the purchase and refurbishment of the football gear, and other substantial costs prior to the start of each season. In the event your child decides he/she doesn't want to play after the season has started, we are unable to recoup these costs. Also, we often turn kids away because the league is full, or due roster restrictions - your child will have taken a spot that could have gone to another player. It is for these reasons OMFA/AFMO has the following refund policy: Refunds of registration fees paid to OMFA shall be made only in the following instances: OMFL/LFMO: If a player or parent changes their mind prior to distribution of equipment, this will result in a full refund of registration fees less a $50 processing fee. If a player sustains a season ending injury* prior to the start of the season, this will result in a full refund of registration fees less a $50 processing fee. If a player or parent changes his/her mind about participating prior to the second scheduled practice of the season. This will result in a 50% refund less a $50 processing fee. After the second scheduled practice of the season, no refunds will be issued for any reason. Please note all refunds must be requested by sending an email to firstname.lastname@example.org. No other requests will be accepted. I will pay my Registration Fees on registration day/night by:*ChequeCashCredit CardRegistration Fee Price: $ 325.00 CAD Registration Fee Price: $ 350.00 CAD Registration Fee Price: $ 400.00 CAD Spring Camp - Credit Price: -$ 250.00 CAD Total $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.