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Ottawa South United

Try Out Form

Player's Information

First Name:
Last Name:
Date of Birth:		* Required for insurance purposes
Gender:	Male Female
Age Group:
Current club Registered with:
Please name your current team and division eg OSU Force ERSL U13 L3:

Your Details

First Name:
Last Name:
Address:
Address 2:
City:
Province:
Postal Code:	-

Email:
Evening Phone:	-- Ext:
Day Phone:	-- Ext:
Cell Phone:	--

Decline Accept	I acknowledge on behalf of my child that there are potential risks in physical activity programs. I or any other person claiming through me or on my behalf do hereby release and agree to save harmless Ottawa South United S.A. and all its staff/coaches from all claims for loss, injury or damage to persons and property whilst participating in this camp, or traveling to and from this camp.