February 8 ,2012
Outdoor Soccer 2012 Register Now!
HOUSE LEAGUE ONLINE REGISTRATION
PERSONAL INFORMATION
Child’s Last Name:
First Name:
Address:
Apt #:
City:
Prov:
Postal:
Home Phone:
Cell:
Email:
D.O.B (d/m/y):
Gennder:  Boy  Girl
OHIP # (optional):
Mother Name:
Father Name:
CONSENT FOR PERSONAL INFORMATION :I authorize the Canadian Soccer Association, the Ontario Soccer Association, Scarborough Soccer Association, and NSSC to collect and use personal information about me or my child/ward for the purpose of receiving communications from the Ontario Soccer Association, District, League and Club. I understand that I may withdraw such consent related to receiving communications at any time by contacting the OSA Privacy Officer at OSAPrivacyOfficer@soccer.on.ca or by mail to: Attn: OSA Privacy Officer, Ontario Soccer Association, 7601 Martin Grove Road, Vaughan ON L4L 9E4. The Privacy Officer will advise the implications of such withdrawal. *We do not sell or distribute your personal information to any other third party not listed herein.*
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