Player Registration

Player Registration Form

At County FC Academy, we are excitedly looking forward to reconnecting with our soccer community, we relies on your involvement to help provide a great soccer experience for every child.

Parent Information

Parent First Name* :

Parent Last Name* :

Phone* : Numbers only

Cell Phone : Numbers only

Email* :

Player Information

First Name* :

Last Name* :

Street Address* :

City* :

Province* :

Postal Code* :

Phone : Numbers only

Cell Phone : Numbers only

Email :

Birth Date* :

Gender* :

OHIP No (Optional) :

Medical Information :

Terms & Conditions:

I am the parent/guardian of the participant having full legal responsibility for decisions regarding the participant.
I believe that my child is physically,emotionally and mentally able to participate in the programs,activities and events of COUNTY FC ACADEMY.
I hereby acknowledge that I am aware of the risks and hazards associated with or related to soccer. The risks and hazards include, but are not limited to injuries from: Executing strenuous and demanding physical techniques in soccer; Grass, turf and other surfaces including bacterial infections and rashes; Falls to the ground due to uneven or irregular terrain or surfaces; Collisions with walls and soccer equipment; Extreme weather conditions which may result in heatstroke, sunstroke or hypothermia; Contact, colliding or being struck by other participants, spectators, equipment or vehicles; Vigorous physical exertion and strenuous cardiovascular workouts; Exerting and stretching various muscle groups.
Furthermore, I am aware that my child/ward may:
1. Sustain injuries in soccer that can be severe, cause spinal cord injuries and even be fatal;
2. Experience anxiety while challenging himself/herself during the activities, events and programs;
3. Come into close contact with other participants, including the possibility of accidental and unexpected contact.
4. Risk of injury is reduced if he/she follows all rules established for participation;
5. Risk of injury increases as he/she becomes fatigued.

I agree to accept all these risks and hazards and be responsible for any injury or other loss which my minor child might receive while participating in these events, activities and programs. I acknowledge that I have read this registration agreement in its entirety and that I have executed this registration agreeent voluntarily.