YORK SIMCOE STORM
FOOTBALL CLUB
2009 REGISTRATION FORM
All
fields marked in RED are
required
DIVISION
(Choose)
Peewee
Junior
Senior
Peewee Division
14 or under as of May 31, 2009
Junior Division
16 or under as of May 31, 2009
Senior Division
19 or under as of May 31, 2009
Mail signed registration form to: The York Simcoe Storm Football Registrar, 1100 Gorham Street, Suite 11B-302, Newmarket, Ontario, L3Y 8Y8. If you have questions you can look for answers from our Frequently Asked Questions page or by filling out or Storm Football Fan Feedback Form in our members section and one of our representatives will contact you back within 24 hours. If this is an urgent question please email us at
stormfootball@sympatico.ca .
Player Information
First Name:
Last Name:
Address:
Apt#:
City:
Postal Code:
Email:
Phone:
Cell:
Date of Birth :
(yyyy/mm/dd)
Health Card#:
MEDICAL INFORMATION :
If yes, please explain in the space provided below::M
Mother's Name:
Mother's Phone:
Mother's Email:
Father's Name:
Father's Phone:
Father's Email:
Emergency Contact Name:
Phone:
Living with:
Both
Mom
Dad
Other
Athletic
School: (Past/Present)
Education Level:
Elementry
Secondary
College/University
Ever Played Football Before:
Yes
No
If Yes, enter Team name:
Height:
Weight:
Jersey #:
Offensive Position:
Any
QB
RB
WR
TE
OL
Defensive Position:
Any
DB
LB
S
DL
Special Teams:
K
P
KR
PR
Any
Preference:
Any
Offense
Defense
How did you hear about us?:
Sign
Poster
Newspaper
Friend
Other
If "Other", please explain:
Registration Fee Breakdown
Try-out
and insurance Deposit $250.00
To make your payment online, submit this form .
Player Fee $300.00
Total Player Registration Fee $550.00
Payment Policy
Player MUST pay a minimum of $
300.00 deposit (non refundable) prior to participating in any Storm Football associated programs, camps, conmbines
or training sessions. Players full registration fee must be
paid in full prior to equipment handout
Cancellation Policy
There is a $300.00 cancellation fee that applies to all registrants who withdraw (for ANY reason) from the program BEFORE the
first exhibition game and equipment handouts. NO REFUNDS will be given after the current seasons first
exhibition or league game commences. For more information on the York Simcoe Storm refund policy please visit our
Policy section of our website.
Equipment Return Policy
All York Simcoe Storm Football equipment must be returned
immediately following the players last game. All equipment must be returned to the equipment manager in order to ensure that all pieces have been accounted for. Not returning any piece or all of the loaned equipment will result in the invoicing of the player/parent/guardians
responsible.
Agreement
Players: (Please read before signing)
In registering as a player with the York Simcoe Storm
Football Club, I agree to abide by all the rules and regulations of the York Simcoe Storm
Football Club, and the league in which I play. I have thoroughly read the 'Storm Player Code of Conduct' and understand that failure to abide by the rules set forth
therein could lead to my dismissal from the team. I understand that the team for which I am registering plays full contact tackle football, and that the York Simcoe Storm Football Club, the league, and any associations in which my team plays are not responsible for any injury or loss to any player before during or after practices or games. I agree to take full responsibility for the football equipment which I am loaned, and agree to return all loaned equipment and uniform items at the end of the season or at the time and placed specified by the York Simcoe Storm Football Club.
Athlete Signature
Date
Parent or Guardian: (Please read before signing)
Permission is hereby granted for the above named player to participate in all activities involved with being a member of the York Simcoe Storm Football Club. In my absence, I authorize the York Simcoe Storm Football Club to have any medical attention preformed, that deems necessary upon the above named player. I agree in the release of personal information to appropriate third parties as requested. ie: Universities, hospitals and doctors. I understand that the above named player will be participating in full contact tackle football, and that the York Simcoe Storm Football Club, the league, and any other associations within whose jurisdiction the York Simcoe Storm Football Club shall compete, are not responsible for any injury or loss to any player before, during or after practices and games. I take full responsibility for all equipment loaned to the above named player, and I agree to facilitate the return of said equipment at the time and place specified by the York Simcoe Storm Football Club.
Parent/Guardian Signature
Date
Check here if you like to
volunteer for the 2009 season
Payment
Credit Card Type
(Choose)
Mastercard
Visa
Credit Card Number
Credit Card Expiry(mm/yy)
Credit Card Security Code
Amount
