Player Information

First Name:

Last Name:


Date of Birth:


Street Number:

Street Name:




Select Team:


By agreeing to the terms of this form you give up important legal rights. Please read carefully!

This is a binding legal agreement. As a Participant in the Kingston and District Old Timers Soccer League, the undersigned acknowledges and agrees to the following terms.


The Kingston and District Old Timers Soccer League, their directors, officers, members, employees, coaches, volunteers, officials, participants, clubs, agents, sponsors, owners/operators of facilities, and representatives (the “Organization”) are not responsible for any injury, damage or loss of any kind suffered by a Participant during, or as a result of, any program, activity or event, caused in any manner whatsoever including, but not limited to, the negligence of the Organization.

Description of Risks

In consideration of my participation in such programs, activities and events, I hereby acknowledge that I am aware of the risks and hazards associated with or related to soccer. The risks and hazards of soccer include, but are not limited to:

Furthermore, I am aware:

Release of Liability

In consideration of the Organization allowing me to participate, I agree:

  1. To assume all risks arising out of, associated with or related to my participation;
  2. To be solely responsible for any injury, loss or damage that I might sustain while participating; and…
  3. To release the Organization from liability for any and all claims, demands, actions and costs that might arise out of my participating, even though such risks, injuries, loss, damage, claims, demands, actions or costs may have been caused by the negligence of the Organization.


By completing registration, I acknowledge that I have read this agreement, that I have executed this agreement voluntarily,
and that this agreement is to be binding upon myself, my heirs, executors, administrators, and representatives.