Mail-in Registration Form

Mail this form together with a cheque for $230.00 for youth,

payable to: Leaside Soccer Association
            193 Randolph Road, Toronto, ON M4G 3S6
    
Remember: Adults are essential to the running of the league.
Anyone interested in helping should mark their interest below:

I would like to coach (   ) or, help a coach (   )

Registration Form


________________________  _________________   ________________________
Player's Name             Division            Date of Birth (mm/dd/yy)

________________________  ___________ _______________  ________________
Address                   Postal Code Telephone        Email
    
I certify the above information to be correct. I recognize that there is a 
potential risk in participating in any sport. I absolve the coaches and 
officials of the Leaside-East Toronto Soccer Club of any liability in 
respect to injury to me or my child while playing soccer or engaging in 
any other Leaside-East Toronto Soccer Club activities.


__________________________________    ______________________
Parent Signature                      Date