Username
Password
Create a Userid
UsernameHelp
 *
PasswordHelp
(Confirm)
E-mail address
 *
First Name
 *
Last Name
 *
Relationship to player
 *
Street
 *
Apt/Unit #
City/Town
 *
Province
 *
Postal Code
 *
Home Phone
 *
Cell Phone
Work Phone

I authorize Wilmot District Soccer Club and Twin Rivers Soccer League to collect and use personal information about my child/ward for the purpose of receiving communications from the League and Club.

I understand that I may withdraw such consent related to receiving communications at any time by contacting the Club

The Executives will advise the implications of such withdrawal.

*We do not sell or distribute your personal information to any other third party not listed herein.*

IN CONSIDERATION of allowing my minor child/ward to participate in the programs, activities and events of  Wilmot District Soccer Club and Twin Rivers Soccer League, I ASSURE TO YOU THAT: 
  • I am the parent/guardian of the above named participant having full legal responsibility for decisions regarding the above named participant. 
  • I believe that my child/ward is physically, emotionally and mentally able to participate in the programs, activities and events of Wilmot District Soccer Club and Twin Rivers Soccer League.
  • 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;
  • Dryland training including weights, running and massage;
  • 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;
  • Failure to properly use any piece of equipment or from the mechanical failure of any piece of 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; and
  • Travel to and from competitive events and associated non-competitive events which are an integral  part of the organization’s activities. 
  • Furthermore, I am aware that my child/ward may: 
    • Sustain injuries in soccer that can be severe, cause spinal cord injuries and even be fatal;
    • Experience anxiety while challenging himself/herself during the activities, events and programs;
    • Come into close contact with other participants, including the possibility of accidental and unexpected  contact;
    • Risk of injury is reduced if he/she follows all rules established for participation; and 
    • Risk of injury increases as he/she become fatigued.  
I UNDERSTAND AND AGREE, on behalf of myself, my heirs, assigns, personal representatives and next  of kin that my checking this box for this document constitutes: 
  • I am registering my child/ward willingly and my child/ward is participating voluntarily in these activities,    events and programs.  
  • I agree that there are risks in soccer as described above and my child/ward will be exposed to these risks   and hazards.
  • I agree to accept all these risks and hazards and be responsible for any injury or other loss which my   minor child/ward might receive while participating in these events, activities and programs.
  • If something happens to my child/ward, I release the Organizers of responsibility for any claims, demands,   actions and costs which might arise out of my child/ward’s participation.   
  • I understand “Organizers” to mean: Wilmot District Soccer Club and Twin Rivers Soccer League and their directors, officers, members, employees, volunteers, officials, participants, clubs,  agents, sponsors, owners/operators of facilities, and representatives.  
Accident Insurance
Executing this agreement will not preclude you from accident insurance coverage, subject to the terms and  conditions of Wilmot District Soccer Club's insurance policy. 

I ACKNOWLEDGE MAKING THIS AGREEMENT  By checking the box, you agree that you are the parent or legal guardian of the player being registered and to be bound by this Legal Agreement even if you have not read the agreement.
 *
In consideration of the acceptance of my child/ward’s membership in the Wilmot District Soccer Club and Twin Rivers Soccer League, I, the parent/guardian (for the participant under 18 years of age), agree as follows:
  1. I understand that my child/ward cannot play in any sanctioned soccer game until after this registration form has been validated and the registration data has been entered in The Wilmot District Soccer Club and Twin Rivers Soccer League registration system.
  2. I am aware of Wilmot District Soccer Club and Twin Rivers Soccer League bylaws, policies, rules and regulations and agree to abide by them and to be bound by them.
  3. I accept sole responsibility for my child/ward’s personal possessions and athletic equipment.
  4. I accept all liability for any damage to the playing equipment caused by my child/ward’s careless, negligent and/or improper handling.  
By checking the box, you agree that you are the parent or legal guardian of the player being registered and to be bound by this Legal Agreement even if you have not read the agreement 
 *

Sponsors

Contact Us

Wilmot District Soccer Club
1291 Nafziger Road, Unit #5
Baden, Ontario
N3A 0C4
EMAIL: info@wilmotsoccer.com
(519) 998-2729
NOTE: The phone is not monitored as frequently during the off season.
Email is the preferred method of communication.
Contents copyright 2021: Wilmot District Soccer Club.