Registration 1 INTRO2 PLAYER INFO3 PARENT / GUARDIAN INFO4 CONDITIONS5 PAYMENT How did you hear about us?*Family/friendsPlayed previous yearCity GuideFacebook/Twitter Player's Name* First Last Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemalePlayer Category*Tyke (2010-2011)Mosquito (2008-2009)Sector*GatineauHullAylmerBuckinghamWeightHeightPlease choose your T-shirt size*Y - MY - LSMLXLPlease note : the size selected is the size that will be ordered for your child. Exchanges will NOT be possibleYears of Experience*012345678910School Attended*Health card (RAMQ)*Format : ABCD-1234-5678Medical ConditionsComments Primary Contact*FatherMotherGaurdianName* First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone (home)Telephone (work)Telephone (cell)Email* Enter Email Confirm Email OPTIONAL: Secondary Contact*FatherMotherGaurdianNoneName First Last Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone (home)Telephone (work)Telephone (cell)Email Enter Email Confirm Email VOLUNTEER PARENTSVolunteer Options Assistant coach First aid / Trainer 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), 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.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.Name of Parent / Guardian*Date* 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. I will pay my registration fees by :*Cheque or Cash on registration nightCredit Card with PayPalNote: 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.LFMO Registration Fee Price: $ 200.00 CAD Please note the fees include a $50 non-refundable administration fee.LFMO Registration Fee Price: $ 200.00 CAD Please note the fees include a $50 non-refundable administration fee.Equipment deposit $150.00 Price: $ 0.00 CAD You will not be charged the equipment deposit of $150.00 on your Credit Card, but you are still required bring a deposit cheque of $150.00 or cash to the registration. When ALL of your equipment has been returned at the end of the season: your initial deposit check will be returnd to you.Equipment deposit Price: $ 150.00 CAD When ALL of your equipment has been returned at the end of the season: your initial deposit check will be returnd to you.Total $ 0.00 CAD Total $ 0.00 CAD EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.