Soccer Registration (Lucknow Recreation)

Print Soccer Registration
Player Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 1. Maximum File Size: 4MB.
  3. Photos may be on our website, social media and in local newspaper.
Parent Information
  1. 123 Main St. Lucknow N0G2H0
  2. Example: [email protected] Your submission will be sent to this address.
  3. Example: ###-###-####
Team/Age Group Selection
The regular registration deadline is March 25 2022. Any registration received after the March 25 deadline will be subject to a $30.00 late fee.









Volunteering Opportunities
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  2. Check All That Apply
Payment
  1. Your registration IS NOT complete until you have submitted payment.
  1. Rowan’s Law

    Under Rowan's Law, before any player can be registered with the local association and Baseball Ontario, the player, and the parent or legal guardian of the player if the player is under 18 years of age, must review one of the Concussion Education Resources provided by the Province of Ontario and must review the Player Code of Conduct. Links to these resources are provided here and will open in a separate window:

    Province of Ontario Concussion Education Resources:
    https://www.ontario.ca/page/rowans-law-concussion-safety

    Rowan's Law Acknowledgement:

    I hereby confirm that the player being registered to participate in baseball activities with the local association and Baseball Ontario, and the parent or legal guardian of the player being registered if the player is under 18 years of age, have reviewed one of the concussion education resources provided by the Province of Ontario as referenced above and have reviewed the player code of conduct as referenced above. I / we further acknowledge understanding the nature and risk of concussion and head injury to athletes, including the risks of continuing to play after a concussion or head injury is suspected.
  2. Waiver of Liability, Assumption of Risk and Indemnity Agreement 

    1. For the purpose of this waiver, "I" shall refer to the registrant however will include the parent and/or guardian as well as the registrant for anyone requiring a parent and/or guardian.  
    2. I am fully aware of the inherent risks and hazards that result from my attendance at the Lucknow & District Sports Complex and/or any Sports Field or Park maintained by the Lucknow and District Joint Recreation Board.  Furthermore, through my use of such Facility, Sports Field, or Park, I voluntarily, knowingly, and freely assume all such risks including, but not limited to, risks resulting from my own actions or inactions, the actions or inactions of others or their staff and/or volunteers, falls, injuries, illnesses, death, contraction of infectious or communicable diseases, as well as any and all obstacles and defects of the Facility.
    3. I understand and expressly assume all dangers of activities, the Facility, Sports Field or Park.  I also shall identify and inform the Lucknow & District Recreation Department staff of any hazardous or dangerous equipment or conditions jeopardizing the safety of myself or guests thereof and waive all claims arising out of the activities at the Facility, Sports Field, Park or other areas maintained by the Lucknow & District Recreation Department, whether caused by negligence, breach of contract, or otherwise, for any bodily injury, property damage, or loss otherwise.
    4. I shall defend, indemnify, and hold harmless the Lucknow & District Joint Recreation Board including but not limited to, any officials, directors, agents, employees, or affiliates, against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of any kind, including reasonable legal fees and disbursements, and the costs of enforcing any right to indemnification under this Agreement, and the cost of pursuing any insurance providers, arising out of or resulting from any claim related to the Renter’s use of the facility
    5. I, for myself and on behalf of my heirs, assigns, personal representatives, legal guardians and next of kin, hereby release and hold harmless the Lucknow & District Joint Recreation Board with respect to any and all illness, disability, death, or loss or damage to persons or property, whether arising from the negligence of the Lucknow & District Joint Recreation Board or otherwise, to the fullest extent permitted by law.
    6. I understand that smoking cannabis or tobacco and the vaping of any substance is strictly prohibited on and within 20 meters of the Lucknow & District Sports Complex property. This includes all areas and rooms, as well as any vehicle parked in the Lucknow & District Sports Complex Parking Lot. In addition to this, smoking cannabis or tobacco and the vaping of any substance is strictly prohibited on and within 20 meters of the perimeter of any Park, Sports Field and spectator area maintained by the Lucknow and District Joint Recreation Board.  I understand that failure to abide by this may result in an immediate suspension from entering any facilities and/or properties maintained by the Lucknow and District Joint Recreation Board. Furthermore, I also understand that I may be subject to a fine(s) from the Grey Bruce Public Health Unit if smoking and/or vaping occurs on or within 20 meters of the Lucknow and District Sports Complex Property.
    7. I understand that all alcohol at the Lucknow and District Sports Complex must be purchased from the Lucknow & District Sports Complex. Unlicensed alcohol is strictly prohibited at all Facilities, Sports Fields, Parks and other areas maintained by the Lucknow & District Recreation Department.  Consumption of unlicensed alcohol may result in the immediate termination of any rental I am involved with and may result in charges/fines from the Police.
    8. I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my participation, as well as my actions.  I understand that should my actions cause damage to the Lucknow & District Sports Complex, Kinsmen Baseball Diamond, Caledonia Baseball Diamond, Kinsmen Soccer Fields, Outdoor Pool, Splash Pad, B-Rad Skate Park and/or any other properties and items owned or maintained by the Lucknow & District Joint Recreation Board, that I will be held fully accountable for my actions.  This may include, but not be limited to, providing monetary compensation for damages or loss of income occurring from my actions.
    9. I will adhere to all current and future restrictions or guidelines put in place by Public Health, the Province of Ontario, and/or the Lucknow & District Recreation Department.  Furthermore, I understand that it is my responsibility to keep current with any restrictions in place and acknowledge that I may contact the Lucknow & District Recreation Department for clarification of current restrictions in place. 
    10. Despite selecting yes or no to authorizing the use of my photo, I understand and authorize the use of any photo taken while participating in the above program where I am not the main focus (i.e., in the background of a photo being used).
    11. I fully understand that by agreeing to the terms and conditions on this waiver will bind me to the terms of the waiver for future events similar in nature for a period of not less than one (1) year from the date of consent.
  3. Uniforms and Equipment

    The Lucknow & District Recreation Department will loan out jerseys/uniforms for minor sports teams as well as equipment such as baseball bats and soccer balls.  These jerseys/uniforms and equipment are to be returned at the end of the season in the same condition they were lent out in.

    Failure to return jerseys/uniforms and/or equipment will result in a $40.00 replacement fee.
Human Validation