AFMO-OMFA Spring Registration

Step 1 of 4 - Player info - Information sur le joueur

Player's Name*
First Last
What year were you born?*
Gender*
- Male
- Female
Birth Date*
Player Category
- Peewee (2007-2008)
- Bantam (2005-2006)
Weight*
Height*
Years of Experience
School Attended*
Health card (RAMQ)*
Format : ABCD-1234-5678
Medical Conditions
Comments

Primary Contact*
- Father
- Mother
- Guardian
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Telephone (home)
Telephone (work)
Telephone (cell)
Email*
Enter Email Confirm Email
OPTIONAL: Secondary Contact*
- Father
- Mother
- Gaurdian
- None
Name
First Last
Address
Street Address Address Line 2 City Province Postal Code
Telephone (home)
Telephone (work)
Telephone (cell)
Email
Enter Email Confirm Email
VOLUNTEER PARENTS

PHOTO RELEASE APPROVAL (condition)*
- I accept the terms below
By registering my child 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.
RESPONSIBILITY 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) 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.
Name of Parent / Guardian*
Date*
Date Format: MM slash DD slash YYYY
REFUND POLICY*
- I accept the terms below
If a refund is requested before equipment is distributed there will be a full refund. If a refund is requested after equipment is distributed but before the second scheduled practice, a 50% refund will be issued. After the second scheduled practice, no refunds will be issued. All refunds are subject to a $25 non-refundable administration fee. Please note refunds must be requested by sending an email to registration@vikingsgatineau.ca No other requests will be accepted.

I will pay my registration Fees by*
- Cheque Card or Cash on registration night
Note: You do not need a PayPal account in order to pay your fees by Credit Card. Choose the option to pay without a PayPal account.
Spring Camp Registration Fee
Price: $ 250.00 CAD
Equipment deposit
Price: $ 250.00 CAD
When ALL of your equipment has been returned at the end of the season: your initial deposit check will be returned to you.
Total
$ 0.00 CAD
Total
$ 0.00 CAD
Phone
This field is for validation purposes and should be left unchanged.

AFMO-OMFA Spring Registration

Step 1 of 4 - Player info - Information sur le joueur

VOLUNTEER PARENTS