Outdoor Soccer Tournament Registration

This form is mandatory for anyone wishing to participate in the Georgian Campus Recreation Outdoor Soccer Tournament on Thursday, June 18th, 2026. For any questions, please contact Sterling Ivany at sterling.ivany@georgiancollege.ca

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GENERAL

Thursday, June 18th, 2026, at J.C. Massie Field

On the day of the Tournament, check-in will begin at 5:30pm and close at 6:00pm (failure to arrive in this window may result in dismissal from tournament)

If you are unable to play at that time at that location, DO NOT REGISTER!!!!

WHAT IS YOUR TEAM'S NAME. PLEASE TYPE "INDIVIDUAL" IF YOU ARE REGISTERING WITHOUT A TEAM *

PLEASE LIST THE PLAYERS ON YOUR TEAM. PLEASE TYPE "INDIVIDUAL" IF YOU ARE REGISTERING WITHOUT A TEAM *

Please list up to 7 players you'd like to play with - we will do our best to ensure you or on a team with players you list. The players you list MUST ALSO REGISTER!

CONTACT DETAILS

Email address *

City *

Address 1 *

Last name *

First name *

Postal code

Cell phone number? *

Georgian College student number? *

Lakehead University student number?

Only fill this out if you are in an integrated Lakehead program @ Georgian

Are you an international student? *

Yes No

EMERGENCY CONTACT INFORMATION

Emergency contact name? *

Relationship? *

Parent, guardian, friend, etc.

Phone number? *

I HAVE READ, UNDERSTOOD, AND ACCEPT THE FOLLOWING FORMS AND WAIVERS: (See policies below)

PARTICIPATION WAIVER FOR PROSPECTIVE INTRAMURAL PARTICIPANTS

WARNING: READ CAREFULLY! THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS

I understand that participation in the Georgian College Recreation Program for the 2025-26 academic year ( ie. September 2, 2025, to August 14, 2026) involves certain risks and dangers which are inherent to sport while training or competing and include but are not limited to death, serious neck and spinal injuries, head or eye injuries, serious injuries to virtually all bones, joints, ligaments, muscles, tendons and other aspects of the muscular-skeletal system, and serious injuries or impairment to other aspects of my body, general health, and well-being. The preceding list is not inclusive and is meant solely to emphasize the level of risk and danger inherent in sport at any level of competition. I recognize the risk inherent in the game and hereby release Georgian College, its Board of Governors, Officers, Servants and Agents (“Georgian College”) and/or other institution (s) competing in the event, its Board of Governors, Officers, Servants and Agents (“College”), and the Ontario College Athletic Association (OCAA), which includes Ontario Collegiate Recreation (OCR), from any liability whatsoever arising out of or in connection with the Recreation Program, including any liability due to the negligence or breach of contract in the course of my participation or involvement in the Recreation Program. I further acknowledge that I have read the above release and understand that I am relinquishing any and all rights that I, or any of my dependents, or my heirs, executors or administration might have against Georgian College and the OCAA for any loss, damage, injury or expense suffered by me in connection with this activity associated with my participation in the Georgian College Recreation Program. In consideration of being permitted to compete in the Georgian College Recreation Program, I hereby release and forever discharge from any claim and liabilities whatsoever without limitation I might have against the Georgian College and the OCAA in any of the activities in which I am involved, and make this release on behalf of myself, and on behalf of my heirs, executors, administrators and assigns. I agree that pictures or videos taken of me while involved in this event may be used in promotions/displays and publicity-related multi-media productions. I further confirm that I am over the age of majority.

I CONFIRM THAT I HAVE HAD SUFFICIENT TIME TO READ THIS AGREEMENT IN ITS ENTIRETY, INCLUDING ALL OF ITS TERMS, THAT I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT AND HAVE AGREED TO THE TERMS FREELY AND VOLUNTARILY. I UNDERSTAND THAT THIS AGREEMENT IS BINDING ON ME, MY HEIRS AND EXECUTORS.

I HEREBY ACKNOWLEDGE THAT BY CHECKING THE CHECK-BOX BELOW THAT I AM CONSENTING TO ALL PROVISIONS IN THIS AGREEMENT AND THAT MY CHECK MARK CONSTITUTES A VALID AND BINDING SIGNATURE.

Participation *

I accept I decline

PERSONAL INFO USAGE DECLARATION

Collection and Use of Personal Information: I hereby, give consent to Georgian College to utilize information gathered from my academic record and my student file soley for the purpose of assessing my academic progress and my potential or ongoing extramural and intercollegiate athletic eligibility. I further acknowledge that any information gathered may be used for statistical purposes.

Applicants Declaration: I have given complete and true information. I also agree that the Athletics Department may release my name and sports photos/videos to the media or use them in various promotional publications, including the display of such on website and social media applications for Georgian College, OCR, the OCAA and CCAA.

I CONFIRM THAT I HAVE HAD SUFFICIENT TIME TO READ THIS AGREEMENT IN ITS ENTIRETY, INCLUDING ALL OF ITS TERMS, THAT I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT AND HAVE AGREED TO THE TERMS FREELY AND VOLUNTARILY. I UNDERSTAND THAT THIS AGREEMENT IS BINDING ON ME, MY HEIRS AND EXECUTORS.

I HEREBY ACKNOWLEDGE THAT BY CHECKING THE CHECK-BOX BELOW THAT I AM CONSENTING TO ALL PROVISIONS IN THIS AGREEMENT AND THAT MY CHECK MARK CONSTITUTES A VALID AND BINDING SIGNATURE.

Personal Info Use Declaration *

I accept I decline

* required field