Step 1 of 7 14% What year were you born ?*20052004 Player's Name* First Last Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleSector*GatineauHullAylmerBuckinghamWeight*Height*Years of Experience*012345678910School Attended*Player photo for Football QC contract*Accepted file types: jpg, jeg, png.Please upload your picture here. Only acceptable files types are .jpg,.jeg,.png Max file size 2MB. The photo MUST be of your head and shoulders and your face must be visible. 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 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.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 email@example.com. No other requests will be accepted. 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, QMFL and NCAFA.Name of Parent / Guardian*Date* Date Format: MM slash DD slash YYYY I will pay my registration fees now by Interac money transferFull Fees of $500First installment of $250Please send the transfer to firstname.lastname@example.org Password: football Make sure to put the players name in the comments. Please note that if you select the First installment option, the balance of the fees are due once the team is selected. I will pay my registration fees later byCheque or Cash on registration nightDebit or Credit Card on registration nightGaulois Registration Fee Price: $ 500.00 CAD Total $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.