Mailing Address: P.O. Box 362, Manotick, ON K4M 1A4 2020 ADULT APPLICATION TO REGISTER FORM SOUTH UNITED SOCCER ASSOCIATION www.osu.ca

Player'slastname Player'sfirstname

Address City Province Postal code

Home Phone Cell Primary E-mail

Gender M F Birth date year month day

Where did you play in 2019? OSU DIDNOTPLAY OTHER

Please state any medical issues we should be aware of: Do you carry an Epi-Pen? Yes No

Are you a Goalie: Preferred Position: Years of Playing Experience:

PLAYING HISTORY ATTENTION: The“PLAYING HISTORY” section MUST be completed –Any person who provides falseinformationor withholds any of the required information will be suspended from all Soccer Association activities for one year.

Has the player ever registered to play soccer in another country? Yes No

If YES, answer the following questions: a) In which country (other than Canada) did the player last register? b) With which Club did the player last register in another country? c) In which year did the player last register in another country?

Early fee Regular fee Late Fee Adult Recreational OSU Leagues (until March 5) (begins March 6) (begins April 6)

Player Request:

SaturdayMen’s (2002 and earlier) $238 $ 278 $298

Will you be leaving the area in September? Yes No ThursdayWomen’s - (2002 andearlier) $208 $ 248 $268

Friday Women’s 30+ - On the Green (1990 and earlier) $188 $ 228 $ 248

Early fee Regular fee Late fee Adult Leagues (OCSL / Other) (until March 5) (begins March 6) (beginsApril 6)

2020 Coaches Name: Team Name: WOMEN

Regional/Premier – WC1 2019 Coach______$303 $ 343 $363 WC 2 – 5 2019 Coach $263 $ 303 $ 323 WR 1 – 6 2019 Coach $263 $ 303 $ 323

MEN

Regional/Premier – MC1 2019 Coach ______$303 $343 $363 MC 2 – 5 2019 Coach $263 $ 303 $ 323 MR 1 – 6 2019 Coach $263 $ 303 $ 323 Oldtimers (1984 and earlier) 2019 Coach $273 $ 313 $ 333 Masters (1969 and earlier) 2019 Coach $273 $ 313 $ 333

“Help the kids playfund” Program Fee $ Eachyear,OSU receivesmany requeststo sponsorkids, to give them an opportunityto play soccer.In the past we have been able to support a few of those requests, but with your donation, we would be able to sponsor many more children who would otherwise not get the opportunity to participate in organized + Donation $ soccer. Thank you for your generous donation - it willmake a difference in these children’s lives.

LEGAL LIABILITY AND CLUB INFO ON BACK. NSF & Returned Cheques - $40.00 administration charge and Net Paid $ potential player deregistration (makecheques payable to:OTTAWA SOUTH UNITED S.A.or OSU) CASH CHEQUE# Officeuse only

Signature Date ONTARIO SOCCER ASSOCIATION WAIVER AND RELEASE OF CONSENT FOR PERSONAL USE OF INFORMATION LIABILITY `(To be signed by players 18 yrs of age and older) I authorize the Canadian Soccer Association, Ontario Soccer Association By signing or submitting this form you give up important legal rights. (OSA), Eastern Ontario District Soccer Association (EODSA), and OSU to collect Please read carefully! This is a binding legal agreement. and use personal information about my child/ward for the purpose of delivering a quality soccer program and receiving relevant communications from any of the As a Participant in the programs, activities and events of the Ontario organizations listed above. I understand that I may withdraw such consent related Soccer Association, their Districts, Leagues and Clubs, the undersigned to receiving communications at any time by contacting the OSA Privacy Officer acknowledges and agrees to the following terms. (OSA Privacy Officer AT soccer.on.ca) or by mail to: Attention OSA Privacy The Ontario Soccer Association, their Districts, Leagues and Clubs, directors, Officer, Ontario Soccer Association, 7601 Martin Grove Road, Vaughan, ON L4L officers, members, employees, coaches, volunteers, officials, participants, clubs, 9E4. The privacy officer will advise the implications of such withdrawal. We do agents, sponsors, owners/operators of facilities, and representatives (the not sell or distribute your personal information to any other parties not listed “Organization”) are not responsible for any injury, damage or loss of any kind suffered by a Participant during, or as a result of, any program, activity or herein. event, caused in any manner whatsoever including, but not limited to, the negligence of the Organization. I further grant OSU the right to photograph and/or videotape me and/or my child or ward and further to display, and use photographs and/or videotapes on the IN CONSIDERATION of my participation as a Participant in such programs, OSU website or in media events. I understand that I may withdraw such consent by activities and events, I hereby acknowledge that I am aware of the risks and contacting the club at the address below. hazards associated with or related to soccer. The risks and hazards include, but are not limited to, injuries from: o Executing strenuous and demanding physical techniques in soccer OTTAWA SOUTH UNITED SOCCER ASSOCIATION o Dryland training including weights, running, and massage PRIVACY POLICY Grass, turf, and other surfaces including bacterial infections and rashes o Last Updated: January 12, 2011 o Falls to the ground due to uneven or irregular terrain or surfaces o Collisions with walls and soccer equipment The Ottawa South United Soccer Association (OSU or the Club) is committed to Failure to properly use any piece of equipment or from the mechanical protecting your privacy. You can visit most pages on our Web site without o providing us any information about yourself. On some of our pages we do failure of any piece of equipment require personal information from you. This privacy statement explains our policy o Extreme weather conditions which may result in heatstroke, related to the collection, storage and distribution of this information. sunstroke, orhypothermia o Contact, colliding or being struck by other participants, spectators, What do we collect? equipment, or vehicles On pages where we do require personal information from you we will clearly state o Vigorous physical exertion andstrenuous cardiovascularworkouts o Exerting and stretching various muscle groups that we are collecting this information and will provide a link back to this privacy o Travel to and from competitive and/or non-competitive events and activities statement. Most often this information is required for registration purposes, and which are an integral part of the organization's activities as such includes demographic information used to contact you by regular mail, email or telephone. It also includes information required to deliver a quality soccer FURTHERMORE, I am aware that I may: program. This may include, but is not limited to, program selection, age, gender, • Sustain injuries in soccer that can be severe, cause spinal cord injuries and even position, ability, equipment sizing, location preferences, and friend requests. In be fatal addition, emergency medical information is required should an accident occur and • Experience anxiety while challenging myself during the activities, events, and medical assistance need to be provided. Any online financial transactions are programs processed by a secure third-party, and no information other than the amount paid • Come into close contact with other participants, including the possibility of and the date and type of payment are delivered to the Club. accidental and unexpected contact • Risk of injury is reduced if I follow all rules established for participation How is your information used? • Risk of injury increases as I become fatigued Your personal information is used for the following purposes: IN CONSDIERATION of the Organization allowing me to participate as a to ensure our site is relevant to your needs Participant, I agree: To assume all risks arising out of, associated with or related to • to deliver a quality soccer program, my participation; To be solely responsible for any injury, loss or damage that I including building team rosters might sustain while participating; and to release the Organization from liability for • for coaches and other team volunteers to contact their any and all claims, demands, actions and costs that might arise out of my players participating, even though such risks, injuries, loss, damage, claims, demands, • to alert you to important dates, events and meetings actions or costs may have been caused by the negligence of the Organization. • to register with the Club for a specific program • we occasionally hire other companies to provide limited services on our Accident Insurance: Executing this agreement will not preclude you from accident behalf including mailing newsletters. We will only provide those companies with insurance coverage, subject to the terms and conditions of The Ontario Soccer the information they need to deliver the service, and they are prohibited from Association's insurance policy. using that information for any other purpose.

REGISTRATION AND REFUND POLICY - APPLIES TO ALL PLAYERS OSU may disclose your personal information if required to do so by law or in the Payment ofRegistration Fees good-faith belief that such action is necessary to: • Full payment for registration must accompany the registration form • conform to the edicts of the law or comply with legal process served on OSU • Payment must be cash, cheque, debit, or credit card (where available) or the site; • Payment is made out to Ottawa South United or OSU • protect and defend the rights or property of OSU and its • Every player is responsible for their own registration and payment of fees website, or • Ottawa South United S.A. shall NOT be responsible for any monies paid • act in urgent circumstances to protect the personal safety of the OSU to a team, team coach, or team official and shall not entertain requests for employees, users of OSU programs or services, or members of the public. any such refunds Control of your information Please take the time to familiarize yourself with our refund policies.

A) All refunds are: When you register, or otherwise give us personal information, OSU will not share • Subject to a $30.00 administration fee that information with third parties without your permission, other than for the limited • The competitive tryout fee is non-refundable exceptions already listed. It will only be used for the purposes stated above. th • Must be made in writing, by email, or online by June 30 , and clearly indicate the reason for withdrawal OSU is a volunteer based association. All volunteers and those engaged as • Do not ask a coach or other volunteer to pass on verbal requests, as they contractors by OSU are subject to a reference screening process prior to any WILL NOT be accepted involvement with the club and access to your information. At all times, OSU will • Refund requests made over the phone or through voice mail WILL NOT be ensure that access to only the portion of the information required by the role, to accepted complete the activities associated with that role will be permitted. These • Refunds will only be issued once uniforms and equipment are returned to the club th individuals include: Registrar, Schedulers, Coordinators, Coaches, Assistant • Refund cheques will be issued on the 15 of each month, beginning on June Coaches and Managers, Trainers, Camp Counselors, Club’s Board of Directors, 15th Club Administrator, Club General Manager B) Full refunds (less the $30 administration fee): th • Will be processed for requests prior to May 15 Access to your personal information: We will provide you with the means to • Where a player trying out for a competitive team is not selected and OSU is ensure that your personal information is correct and current. unable to provide a suitable alternative within the recreational program ContactInformation: • Where a player trying out for a competitive team is not selected for a specific team and player decides to leave OSU immediately after tryouts Ottawa South United Soccer Attention:Privacy • Where a Developmental or Recreational player identifies a specific geographic Box 362 site and OSU cannot accommodate the request Manotick,Ontario C) Partial refunds (50%, less the $30 administration fee): K4M1A4 th th [email protected] (613)692-4179 • Will be processed for requests between May 15 and June 30 • Where a player suffers a season ending injury, attested to by the attending Ottawa South United Soccer Association Player Agreement physician prior to July 1st, the refund will be prorated by the number of games up to the time of injury, less any fees paid to leagues or governing bodies I agree to abide by the fundamental rule that I will not do anything to jeopardize • Apply to recreational players only, under the conditions of item B), above another player's safety. I will abide by the rules of soccer (FIFA) and Ottawa South D) Refunds WILL NOT be processed under the following conditions: United. If I am registered for the Saturday Morning Men's League, I acknowledge th that it is recommended that I read the managers handbook, especially the sections • Written requests received after June 30 entitled "Philosophy of the Adult's House League" and the "Rules" to obtain more • Competitive players withdrawing after they have been offered and information. This handbook can be found on the OSU website. accepted a team assignment, NO EXCEPTIONS • Where a player transfers to another club after OSU has registered them with the governingsoccerorganizations, NO EXCEPTIONS PLEASE TAKE NOTE - Any player acting in an aggressive or overly physical • Where a player has been disciplined by one of the governing soccer manner will be subject to disciplinary action which may lead to suspension. organizations, the club or has outstanding debts to the club Aggressive Conduct is defined as: any physical force that injures or has the potential to cause injuries, or abuses any individual or property. Aggressive E) All other refund requests will be assessed on merit Conduct also includes any attempt to make threatening physical contact with another individual. This also includes any verbally or physically threatening Outstanding Fines: A player will NOT be registered for their respective league if demeanor towards any individual. Players are to respect each other. Those not outstanding fines or fees are not addressed respecting other players may face game suspension(s) and possibly suspension for the remainder of the season or for an indefinite length of time. Competitive Team Fees: A player will NOT be registered with the ERSL (Regional) and OYSL until the additional fee assessed to Regional and OYSL No refunds will be given to any players suspended for the season. players is paid

* VOLUNTEERS – All Volunteers are subject to final Club approval. Any dispute of what constitutes a volunteer for Club Membership status is subject to the final decision of the Club’s Board of Directors.