WESTERN ONTARIO SOCCER LEAGUE 2023

WESTERN ONTARIO SOCCER LEAGUE 2023

TEAM MEMBERSHIP APPLICATION - ALL FIELDS MARKED WITH A * ARE REQUIRED
CLUB NAME *
ON BEHALF OF (above club) * PLEASE READ

I wish to make application for membership in the WESTERN ONTARIO SOCCER LEAGUE for the 2023 Outdoor soccer season. I hereby agree on behalf of the above named club to observe, uphold and abide by the decisions made by the Executive Committee. All Club Officials, Team Officials and Players will abide by League Rules, Constitution and Code of Conduct. Any application for membership not received by the Annual General Meeting may be refused or subject to disciplinary action as the Executive Committee may deem fitting. Applications that do not comply with the above dates will only be accepted based on space and at the discretion of the league and will be subject to a $200 late fee. Teams registering late may be placed in the lowest available division. All Fines must be paid by the Annual General Meeting or application will not be accepted. Payment may be made by cheque, money order or cash, payable to the “WESTERN ONTARIO SOCCER LEAGUE”. 295 Rectory Street, London, Ontario, N5Z 0A3
TEAM NAME (12 DIGITS MAXIMUM INCLUDING SPACES) *
DIVISION (AS DETERMINED BY LEAGUE RULES - NEW TEAMS IN LOWEST DIVISION)

PREMIER FIRST SECOND THIRD FOURTH
REGISTERED COLOURS (Jersey, Shorts, Socks) *
ALTERNATE COLOURS (Jersey, Shorts, Socks) *
HOME FIELD *
HOME FIELD ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
DOES THE FIELD HAVE LIGHTS? *

YES NO
DOES THE FACILITY HAVE CHANGE ROOMS? *

YES NO
IS THE FIELD FENCED? *

YES NO
PREFERRED PLAYING DAY *

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
KICK OFF * (MAY BE ADJUSTED BY LEAGUE FOR SUNSET AND TRAVELING TEAMS) *

: Hour Minutes AM/PM Option
CLUB CONTACT *

First Name Last Name
CLUB CONTACT POSITION *
CLUB CONTACT EMAIL *
example@example.com
CLUB CONTACT PHONE *

Area Code Phone Number
CLUB MAILING ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
TEAM CONTACT *

First Name Last Name
TEAM CONTACT POSITION *
TEAM CONTACT EMAIL *
example@example.com
TEAM CONTACT PHONE *

Area Code Phone Number
TEAM COACH *

First Name Last Name
TEAM COACH EMAIL *
example@example.com
TEAM COACH PHONE *

Area Code Phone Number
TEAM COACH CERTIFICATION *

NATIONAL "A" LICENSE NATIONAL "B" LICENSE PROVINCIAL "B" LICENSE "C" LICENSE SOCCER FOR LIFE LEARN TO TRAIN FUNDAMENTALS ACTIVE START MAKING ETHICAL DECISIONS RESPECT IN SPORT NONE
ASSISTANT COACH *

First Name Last Name
ASSISTANT COACH EMAIL *
example@example.com
ASSISTANT COACH PHONE *

Area Code Phone Number
ASSISTANT COACH CERTIFICATION *

NATIONAL "A" LICENSE NATIONAL "B" LICENSE PROVINCIAL "B" LICENSE "C" LICENSE SOCCER FOR LIFE LEARN TO TRAIN FUNDAMENTALS ACTIVE START MAKING ETHICAL DECISIONS RESPECT IN SPORT NONE
PLEASE NOTE

Any subsequent change of Club and/or Team Contact, Field or Colours indicated above, or address change must be sent immediately to the Secretary of the league. Failure to comply with this request may result in disciplinary action being taken being taken against the club/team.
TEAM ENTRY FEES

* EXISTING TEAM - $465.......................................................................................................... * NEW TEAM FROM EXISTING CLUB MEMBER - $465.......................................................... * NEW TEAM FROM NEW CLUB - $1,065................................................................................ * CHEQUES MADE PAYABLE TO "WESTERN ONTARIO SOCCER LEAGUE"....................... * PAYMENT MUST BE MAILED PRIOR TO ANNUAL GENERAL MEETING OR HAND DELIVERED AT ANNUAL GENERAL MEETING
LEAGUE CUP FEE

* OPTIONAL - $60
OUR TEAM WOULD LIKE TO PARTICIPATE IN THE LEAGUE CUP

YES NO
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WESTERN ONTARIO SOCCER LEAGUE 2023

ON BEHALF OF (above club) * PLEASE READ

PLEASE NOTE

TEAM ENTRY FEES

LEAGUE CUP FEE