2017 Fall Indoor Soccer Registration Credit Card Payment We care about your credit card security. Find out more. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Instagram (Opens in new window)Click to email this to a friend (Opens in new window) If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required First Name * Last Name * Gender * FemaleMale Email * Date of Birth * Assigned Division * 4 Yr Old 5 & 6 Yr Old 7 & 8 Yr Old 9 & 10 Yr Old 11 & 12 Yr Old 13 & 14 Yr Old Do not change the division. The division is calculated based on the player's birthdate. Home Phone * Cell Phone Address 1 * City * Post Code * Uniform Size * Youth Extra Small Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large Other Previous Participation with Azzurri * --Please Select-- None Yes Yes - Outdoor Yes - Indoor Player's Soccer Level (1-3) * --Please Select-- 1 - Somewhat Skilled 2 - Average Skilled 3 - Very Skilled How did you hear about us? * --Please Select-- Friend Internet Google Ad Street Sign Advertisement School Other Would you like to volunteer? * --Please Select-- I can't Coach Assistant Coach Other Medical Conditions Comments Parent/Guardian Name * Toronto Azzurri Soccer Registration Fee Card Number The (typically) 16 digits on the front of your credit card. CVC The 3 digit (back) or 4 digit (front) value on your card. Name on the card The name printed on the front of your credit card. Expiration month (MM) The month your credit card expires, typically on the front of the card. Expiration year (YYYY) The year your credit card expires, typically on the front of the card. I hereby register my child and I do understand that there is a potential for injury while participating in the programs offered by your club and I agree to hold harmless, the Toronto Azzurri Soccer Club, The Team, Officials, League or District Associations from any and all injuries sustained while playing for this Club at practices, games and events. For safety reasons, I agree to supply my child with soccer shoes and shin pads, to be worn at all times during play, including practices. I agree to abide by the rules and regulations of the Toronto Azzurri SC, the Ontario Soccer Association (www.soccer.on.ca) and the North York Soccer Association. I also understand that balancing of the teams may take place up to and including the 3rd game of the season. I consent to my child being filmed, audio taped, photographed, interviewed by employees, agents or servants of the Toronto Azzurri S.C. I have read and understand the registration rules published by the Ontario Soccer Association and I agree to release, indemnify, authorize and acknowledge the contents of this form.