• Academy Registration

    Become a member
  • Athlete Information

    Information about the athlete
  •  -  -
    Pick a Date
  • Since you are new an account will be created for you on the eurostarsoccer.com website with your email as your username. If you have already have an account we would like you to thank you for registering.

  •  -  - Pick a Date
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  • Parent or Guardian Information

    Information about the parents of the athlete
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  •  -
    • Player Medical History  
    •  -
    • Please let us if you have been affected by the following. 

      • Are you allergic to any medication or foods (aspirin, penicillin, etc.)?
      • Do you take prescribed medication on a permanent or semi permanent basis (Steroids, anti inflammatory,etc.)?
      • Have you ever been told by a doctor that you have epilepsy?:*
      • Have you ever been treated for diabetes?:*
      • Have you ever been told by a doctor that you were anemic?:*
      • Have you ever been told by a doctor that you have sickle cell anemia?:*
      • Have you ever been told by a doctor that you have sickle cell traits?:*
      • Do you have or ever have high blood pressure? :*
      • Do you have or have you ever had Heart Disease (heart murmur, rheumatic fever)?:*
      • Do you have or have you ever had Lung Disease (pneumonia)?:*
      • Do you have or have you ever had Kidney Disease (infections)?:*
      • Do you have or have you ever had Liver Disease (mononucleosis, hepatitis)?:*
      • Have you ever been told bya doctor you have asthma?:*
      • Do you have or have you ever had a hernia or “rupture”?:*
      • Have you ever been “knockedout” (unconscious) in the past 3 years?:*
      • Have you had a concussion or other head injury in the past 3 years?:*
      • Have you ever had to stay overnight in a hospital due to head injury?:*
      • Have you ever suffered a neck injury?:*
      • Have you ever broken a bone in the past two years?:*
      • Have you ever had ashoulder injury?:*
      • Have you had knee surgery?:*
      • Do you have a pin, screw or plate in your body?:*
      • Do you have any other conditions we should be aware of (ie ulcers, food or insect Allergies, tendinitis, etc.)?:*
  • Compliance

    Please read & adhere to the following
    • Ontario Soccer Participant's Agreement  
    • ALL PROGRAMS AND ACTIVITIES HAS ITS RISKS
      I participate in the game of soccer because it is physically and mentally challenging. 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 this activity. The risks and hazards include, but are not limited to:

      • Injuries from executing strenuous and demanding physical techniques in soccer;
      • Injuries from dryland training including weights, running and massage;
      • Injuries from grass, turf and other surfaces including bacterial infections and rashes
      • Injuries from collisions with walls and soccer equipment
      • Injuries resulting from failure to properly use any piece of equipment or from the mechanical failure of any
        piece of equipment
      • Spinal cord injuries which may render me permanently paralyzed
      • Injuries from extreme weather conditions which may result in heatstroke, sunstroke or hypothermia
      • Injuries from contact, colliding or being struck by other participants, spectators, equipment or vehicles
      • Injuries resulting from vigorous physical exertion and strenuous cardiovascular workouts
      • Injuries from 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 injuries sustained in soccer can be severe;
      • That I may experience anxiety while challenging myself during the activities;
      • That I may come into close contact with other participants, including the possibility of accidental and
        unexpected contact;
      • That my risk of injury is reduced if I follow all rules established for participation; and
      • That my risk of injury increases as I become fatigued.


      I AGREE TO BE RESPONSIBLE FOR MYSELF
      I am participating voluntarily in these activities, events and programs. I agree that there are risks in soccer as described above. By participating voluntarily in these events, activities and programs, I am exposed to these risks and hazards. I agree to accept them and be responsible for any injury or other loss which I might receive while participating in these events, activities and programs.
      If something happens to me, I release the organizers of responsibility for any claims, demands, actions and costs which might arise out of my participation. In this Agreement I understand “organizers” to mean: Ontario Soccer, District
      Associations, Leagues, Clubs and their directors, officers, members, employees, volunteers, officials, participants, clubs, agents, sponsors, owners/operators of facilities and representative.

      INSURANCE
      Executing this agreement may not preclude you from insurance coverage.

      I ACKNOWLEDGE MAKING THIS AGREEMENT on {date}

       

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    • Ontario Soccer Registration Form  
    • Registrant Information

      Name of Participant: {athleteName}  
      Address: {address}  
      Phone: {homeNumber} Email: {primaryEmail}
      Date of Birth:{dateOf} Registration #: Assigned on Submission 
       Registering as a: Player

      Team/Organizational Details

      Organization: Eurostar Academy
      Season Type Registering for:  Both
      Player Classification Indoor: Youth
      Player Classification Outdoor:  Youth Competitive
      Team Name: Eurostar Lions League OASL. Division: Tier 1
    • Consent for use of personal information
      I authorize the Canadian Soccer Association, *Ontario Soccer, the applicable District Association and Eurostar Academy to collect and use personal
      information about me for the purpose of receiving communications from the Canadian Soccer Association, Ontario Soccer, District Association,
      League and Eurostar Academy. I understand that I may withdraw such consent related to receiving communications at any time by contacting the
      Ontario Soccer Privacy Officer at privacy@ontariosoccer.ca or by mail to: Attention: Privacy Officer, Ontario Soccer, 7601 Martin Grove Road, Vaughan
      ON L4L 9E4. The Privacy Officer will advise the implications of such withdrawal.
      *We do not sell or distribute your personal information to any other third party not listed herein.*

    • ACCEPTANCE OF TERMS AND CONDITIONS
      In consideration of the acceptance of my or my child/ward’s membership in the Ontario Soccer, District Association and Club/Academy, I, the
      participant, agree as follows:


      1. I understand that I cannot play in any sanctioned soccer game until after this registration form has been validated and the registration data has
      been entered in Ontario Soccer’s computerized registration system.
      2. I have read and understand the waiver attached and my signature affixed hereto indicates my agreement with such waiver.
      3. I am aware of Ontario Soccer, District Association and Club/Academy’s and League bylaws, policies, rules and regulations and agree to abide by
      them and to be bound by them.
      4. I accept sole responsibility for my personal possessions and athletic equipment and accept all liability for any damage to the playing equipment
      caused by my careless, negligent and/or improper handling.
      5. I grant permission to the Organization to photograph and/or record my image and/or voice on still or motion picture film and/or audio tape and to
      use this material to promote the sport of soccer and the Organizations through the media of newsletters, websites, television, film, radio, print
      and/or other form. I understand I waive any claim to remuneration for use of audio/visual materials used for these purposes.

      By signing and dating below you agree that you are the player being registered and to be bound by this Legal Agreement even if you have not read this
      agreement. 

      I ACKNOWLEDGE MAKING THIS AGREEMENT on {date}

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    • Participation Agreement  
    • (you must review the Participation Agreement below before signing)

      By signing this document you will waive some legal rights. This is a binding legal agreement. As a participant and/or parent/guardian of a participant in the programs, activities, games, practices and events of Eurostar Academy Inc and any organization, association or company, Eurostar Academy Inc is are affiliated with, member of, or governed by, the undersigned acknowledges and agrees to the following terms.

      Please also note you also agree to our 

      Player Contract, Parent Contract & Player Code of Ethics found on our website.

      Please read carefully.

      Participating in and/or allowing my minor child/ward to participate in the programs, activities, games, practices and events of Eurostar Academy Inc, I assure to you that:

      If under the age of 18; I am the parent/guardian of the above-named participant having full legal responsibility for decisions regarding the named participant on the form above.

      I am and/or believe that my child/ward is physically, emotionally and mentally able to participate in the programs, activities, games, practices and events of Eurostar Academy Inc and any organization, association or company, Eurostar Academy Inc is are affiliated with, member of, or governed by.

      I hereby acknowledge that I am aware of the risks and hazards associated with or related to soccer and other sports. The risks and hazards include, but are not limited to the ones listed in the Ontario Soccer registration Agreement.

      The risk of injury is always reduced if I and/or my child/ward follow all rules and regulations developed for participation; and.

      I understand and agree, on behalf of myself, my heirs, assigns, personal representatives and next of kin that my signing of this document constitutes: I am registering myself and/or my child/ward willingly and I and/or my child/ward is participating voluntarily in these programs, activities, games, practices and events. I understand and agree that I and/or my child/ward with be exposed to the risks and hazards of soccer.

      I accept all of these risks and hazards and understand I am responsible for any injury or loss which I and/or my child/ward might incur while participating in any programs, activities, games, practices and events of Eurostar Academy Inc and any organization, association or company, Eurostar Academy Inc is are affiliated with, member of, or governed by.

      If anything happens to me and/or my child/ward, I hereby release Eurostar Academy Inc and any organization, association or company which Eurostar Academy Inc affiliates with, is a member of and/or governed by; of all claims, demands, actions and costs which may arise from my and/or my child/wards participation. This releases all directors, officers, members, employees, volunteers, officials, participants, academies, clubs, agents, sponsors, owners/operators of facilities and representatives of Eurostar Academy Inc, and any organizations, association or company which Eurostar Academy Inc affiliates with, is a member of and/or governed by.

      I agree to release Eurostar Academy Inc from liability for any and all claims, demands, actions and costs that arise out of my and/or my child/wards participating, even though risks, injuries, loss, damage, claims, demands, actions or costs may have been caused by the negligence of Eurostar Academy Inc.

      I give consent of my and/or my child/wards picture, video, likeness and/or name to be used in any Eurostar Academy Inc newsletter, email, magazine, newspaper article, advertisement, website article or any other media type use for promoting Eurostar Academy Inc and earning royalty revenue from our produced digital images and video.

      Insurance – Signing this agreement will not preclude you and/or your child/ward from accident insurance coverage, subject to the terms and conditions of Eurostar Academy Inc’s insurance policy.

      Discrimination, Harassment and Bullying – All Eurostar Academy Inc participants have the right to participate in programs, activities, games, practices and events that are in a discrimination, harassment and bullying free environment.

      By signing and dating below you understand and agree that you are the registered player (18 years old +) and/or the registered player’s legal parent/guardian and are bound by this agreement even if you did not read the agreement. I agree to participate (or allow this child to participate, if signed on behalf of a minor) in the activities of Eurostar Academy Inc. I understand and accept that there is a potential risk in training and participating in any sport; and, that the Academy tries to deliver a safe environment. I agree not to hold Eurostar Academy Inc, its Directors, its Staff or Volunteers liable for any damages; loss; or injury sustained by this child and/or by me as a consequence of his/her/my participation in; or presence at; any programs, games, events or other activities of Eurostar Academy Inc and hereby release them from such claims.

      I agree on my behalf (and on the behalf of this child if signing for a minor) and on behalf of any family member who may attend programs, practices, games or Academy events to abide by the rules, polices and decisions of Eurostar Academy Inc and any organization, association or company Eurostar Academy Inc is affiliated with, member of, or governed by. Proper conduct on and around the field must be followed. I accept sole responsibility for my and/or child/ward’s personal possessions and athletic equipment. I accept all liability for any damages to the playing equipment caused by my and/or my child/ward’s negligent and/or improper handling. I specifically grant permission to Eurostar Academy Inc to use my/my child’s likeness, voice and words in television, radio, film, newsletters, magazines, website, and other media; and, in any form not heretofore described, for the purpose of advertising, instructing or communicating activities of Eurostar Academy Inc.

      I hereby certify that all of the information provided on this form is accurate and complete. I have read, understand, and I accept, all of the terms and conditions that are stipulated in this registration document, including the attached participation agreement and understand it is bound by the legal agreement even if you have not read the agreement.

  • Tuition & Financial Agreement

    Pre-Authorized Debit Agreement [cheques are not accepted]
  • Based on the information entered your payments are as follows.

    Biweekly {biweeklyCalculation171} on these dates*

       
    April 2019  5, 19
    May 2019  3, 17, 31
    June 2019  14, 28
    July 2019  12, 26
    August 2019  9, 23
    September 2019  6, 20
    October 2019  4, 18

    *New registrations after above dates incur only future payments on the list. 

    *Eurostar Academy offers a 10% sibling discount provided to the youngest player(s) registering in a family. The above Biweekly fee above does not reflect this discount. The total 10% discount is reflected in your biweekly payments only if you have 2 or more athletes registered.

  • PAYOR’S AUTHORIZATION FOR PRE-AUTHORIZED DEBITS (PADS)

    1.     Authorization to Debit Account. I hereby authorize Eurostar Academy Inc to issue pre-authorized debits drawn on the bank account (the “Account”) added to my Eurostar Academy Inc Account for my personal or business use. Such pre-authorized debits are also referred to as “PADs”. Eurostar Academy Inc may issue PADs sporadically in a dollar amount that I indicate, up to a maximum of $4,000 CAD. Eurostar Academy Inc may issue PADs in the amounts and with the frequency that I authorize from time to time based on my agreement with Eurostar Academy Inc and/or certain merchants. I acknowledge that to add an Account to my Eurostar Academy Inc Account for PADs.

    2.     Cancellation. I understand that I may cancel this authorization for future transactions at any time by removing the Account from my Eurostar Academy Inc Account through contacting Eurostar Academy management. I understand that removing the Account from the Eurostar Academy Inc system does not cancel pending transfers that I have already initiated and authorized.

    3.     Waiver of Pre-Notification Period. I expressly waive the right to receive written notice from Eurostar Academy Inc of (a) the payment amount to be debited from the Account before the payment date of any PAD (including any variable amount or sporadic PADs) drawn on the Account or (b) of any change of Payment Date or amount of any PAD.

    4.     Confirmation Period. Eurostar Academy Inc agrees to provide written confirmation of this authorization at least three (3) days before the first PAD is debited from the Account. I acknowledge that this written confirmation can be provided via this form in the above section.

    5.     Sporadic PADs. Eurostar Academy Inc is required to obtain authorization from me for each sporadic PAD. I acknowledge that to subsequently authorize sporadic PADs I must confirm my identity by entering a valid Eurostar Academy Inc user ID and password at login or by through another reasonable method. This shall constitute valid authorization for my financial institution to debit the Account.

    6.     Recourse. I have certain recourse rights if any PAD does not comply with this authorization. For example, I have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this authorization. To obtain more information on my recourse rights, I may contact my financial institution or visit www.cdnpay.ca.

    7.     Validation by Financial Institution. I acknowledge that my financial institution is not required to verify that a PAD has been issued in accordance with the terms of this authorization.

    8.     Contract for Goods and Services. Revocation of this authorization does not terminate any contract for goods or services that exists between me and any Eurostar Academy Inc merchant or between me and Eurostar Academy Inc. This authorization applies only to the method of payment and does not otherwise have any bearing on the related contract for goods or services.

    9.     Eurostar Academy Inc’s Payment Service Provider. I acknowledge that TD Banking Financial Group, TDBFG (“TD Bank”), acts as the Eurostar Academy Inc’s payment processing representative for the transactions contemplated by this authorization. I agree that the information contained in this authorization may be disclosed to TD Bank as required to complete any PAD transaction. I acknowledge that this authorization is provided for the benefit of Eurostar Academy Inc and is provided in consideration of my financial institution agreeing to process debits against my Account in accordance with the Rules of the Canadian Payments Association.

    10.   Rights of Dispute. I may dispute a PAD only under the following conditions:

                  i.        the PAD was not drawn in accordance with this authorization; or

                 ii.        this authorization was revoked prior to a PAD being initiated.

    I acknowledge that in order to be reimbursed, a declaration to the effect that either (i) or (ii) above took place, must be completed and presented to the branch of my financial institution holding the Account up to and including ninety (90) calendar days after the date on which such PAD in dispute was posted to the Account with respect to personal PADs, and ten (10) business days after the date on which such PAD in dispute was posted to the Account with respect to business PADs.

    I acknowledge that the dispute of any PAD beyond the time allowed in this section is a matter to be resolved solely between me and Eurostar Academy Inc.

    11.   I warrant and guarantee that I am the person that can authorize withdrawals from the Account.

    12.   I understand and accept the terms of the Authorization as set forth above and indicate my acceptance by clicking on the “Agree” button.

  • Contract Agreement

  • Agreement

    This is a contract entered into by Eurostar Academy Inc. (hereinafter referred to as "the Provider") and {parentOr23}.

    The Provider's place of business is London, Ontario and my residence is at {address}.

    I {parentOr23} hereby engage the Provider to provide services described herein under "Scope and Manner of Services." The Provider hereby agrees to provide me {parentOr23} with such services in exchange for consideration described herein under "Payment for Services Rendered."

    Scope and Manner of Services
    Service to Be Rendered by Provider:   

    • Provide Soccer Training and outdoor league competition for your son or daughter.
    • Provide 2 invoices per year for the appropriate calendar year so that the I {parentOr23} can use such invoice for record keeping and any possible tax credits.
    • Provide me {parentOr23} with an electronic account on the Providers website to allow me access specific documents to assist with athlete development.
    • Membership does include basic equipment, 2 uniforms, training uniform.  If you need additional equipment they can be purchased seperately at specific time of the year. If for any reason the basic equipment needs to be replaced, it will need to be purchased seperately.

    The Provider reserves the right to change the program outlined in section one (1) at any time by sending an electronic notice to me {parentOr23}

    Payment for Services Rendered
    The Provider delivers an annual program of soccer training and outdoor soccer league competition. The program begins on November 1st of the year of the contract and continues to October 30th of the following year. In consideration for the Providers services, I {parentOr23} agree to pay all payments noted on the schedule earlier displayed. I {parentOr23} understand that tuition for services to be rendered by the Provider is an annual commitment. I {parentOr23} will be eligible to break down this into biweekly payments based on a Pre-Authorized Debit (PAD) Plan agreement as described earlier in this document. When registered through a PAD I {parentOr23} give the Provider authorization to collect past payments due longer than 30 days.

    Liquidating Damages
    Nonattendance for any reason by my participant/child does not constitute a notice of withdrawal from the program. Once the registration is complete and our program begins there are no refunds under any circumstances. I {parentOr23}(the parent/guardian/client) covenant and agree that (The Provider) shall be paid and shall retain Sixty per cent (60%) of the monies outstanding for the balance of the annual session as liquidated damages due and owing to Eurostar Academy (The Provider). 

    A fee of $42.50 will be charged for each bounced/insufficient payment. A late fee of $25.00 will be charged for any account past due by seven (7) days.

    I {parentOr23} acknowledge making this agreement
    This contract shall be governed by the laws of the province of Ontario and any applicable Federal law. This instrument constitutes the entire agreement between us and no statement, promises, representations or inducement made by any party hereto that is not contained herein shall be binding or valid. This contract may not be enlarged, modified, or altered, except in writing by both the parties.    

    The Client has read and understood the terms and conditions of this agreement, and by signing it voluntarily, the Client agrees to abide by these terms.  In witness of their agreement to the terms above, the parties or their authorized agents hereby affix their signatures:

  • Name of Client: {parentOr23}

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  • Name of Athlete: {athleteName}

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  • PLEASE CLICK PRINT FORM BEFORE SUBMITTING TO SAVE OR PRINT THE AGREEMENT FOR YOUR RECORDS

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