Parent or Guardian Full Name (required)

Street # Address (required)

Street Address Line 2 (required)

City (required)

State / Province / Region (required)

Postal / ZIP Code (required)

Area Code Home Telephone

Home Telephone (required)

Area Code Cell Telephone (required)

Cell Telephone (required)

Email (required)

Confirm Email (required)

Player Information

Player Full Name (required)

Date of Birth (required)

OSA # (leave blank if you dont know)

Gender (required)
MF

Select Age Group (required)
---20012002200320042005-20072008-2010

Has this player registered with the Academy before? (required)
YesNo

If you answer no you will need to submit a copy of a document that shows proof of the players date of birth. We will send you an email with details on how to do this

Playing History

Total # of years played

Name of Club last registered with in Canada

Has the player ever registered to play soccer in another country? Yes No If Yes, answer the following questions:
YesNo

a) Country (other than Canada) last register?

b) Club last register in another country?

c) Year last register in another country?

Course Interested: (required, *Taxes included)
---2000-2004 Target Indoor Season C$13562000-2004 Development Indoor Season C$10172005-2007 Target Indoor C$1186.52005-2007 3v3 Indoor Season C$847.52007-2010 Target Indoor Season C$6782008-2010 Development Indoor C$565Futsal 2000-2004 C$452Futsal 2005-2007 C$452Indoor Footskill Training 12 Sessions 1.5hrsAcademy Training only 12 Sessions 1.5hrs C$367.25Tryout

Terms and Conditions*
By clicking on this box, I agree with, consent to, and/or accept the legal consequences and obligations in this section in consideration of the benefits of registration (required)
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