• Swan Lake/Somerset Soccer Club YOUTH SOCCER Registration Form - Fall 2026

  • Participant Information

    NOTE: If you are signing up multiple participants please complete separate Registration Forms for each individual!
  • Format: (000) 000-0000.
  • Date of Birth
     - -
  • Allergies?*
  • Medication?*

  • Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • VOLUNTEERS NEEDED!

    VOLUNTEERS NEEDED to coach and ref the games – ideally 2 coaches per team. The program is just for fun, so not a lot of pressure on knowing all the rules, positions, etc… Please outline if you or someone you know can volunteer
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • LRD is assisting with Fall Youth Soccer for the 2026 Season!

  • Would you like to join the Lorne Recreation District Email Distribution List to receive email updates from LRD on upcoming programs and activities?*

  • PHOTO RELEASE

  • I/We agree that any photographs/videos taken by Swan Lake / Somerset Soccer Club, Lorne Recreation District staff or hired instructors/contractors may be used in future on-line, social media, print, etc... advertisement or promotion of LRD Programs and Activities.*

  • Informed Consent and Acknowledgement

  • I/We hereby acknowledge that certain risks of injury are inherent to participation in sports and recreation activities. These types of injuries may be minor or serious and may result from one’s actions, or the actions or in-actions of others, or a combination of both. I/We understand that the Rules & Regulations are designed for the safety and protection of participants and hereby undertake to abide by these Rules & Regulations.

    I/We understand that certain activities require a minimum level of fitness and health (physical, mental & emotional) and that each person has a different capacity of participating in these various activities.

    I/We agree that the instructors, volunteers or their agents shall not be liable for any injury to any person, the loss or damage to personal property arising from, or in any way resulting from, my or my child’s participation in these activities - unless such an injury, loss or damage is caused solely by the negligence of the above or their agents while acting within the scope of their duties.

    I/We hereby release Swan Lake / Somerset Soccer Club & Lorne Recreation District and its agents from any and all liability for any injury sustained by me, regardless of how caused, resulting from my participation. I/We will protect, indemnify and hold harmless Lorne Recreation District and its agents from all claims for damages, including all instances where a Communicable Disease has been transmitted or where (I) or a member of my family have become infected by a Communicable Disease that may arise out of the use of buildings, grounds or equipment.

    I/We further agree to indemnify and save harmless Swan Lake / Somerset Soccer Club & Lorne Recreation District and its staff and agents from any and all suits, demands, torts, and actions of any kind which may be brought against its staff or agents for which it / they may become liable by reason of injury, loss, damage or death resulting from, or occasioned to, or suffered by any person or any property, by reason of any act, neglect, or default of mine.

  • How to PAY:

    2025 Season Registration Fees:

    • 3-4yrs: FREE!
    • 5yrs-Grade 8: $12/Player

    Registration Fees will go to Swan Lake/Somerset Soccer Club and are DUE prior to the start of the season

    Payments are accepted in CASH or CHEQUE

    • Cash - exact change please! 
    • Cheques - made payable to Swan Lake/Somerset Soccer Club
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