HOUSE LEAGUE VOLUNTEER APPLICATION FORM
NOTE: ALL COACHES, ASSISTANT COACHES AND CONVENORS MUST COMPLETE THIS
FORM.
Note: The OSA (Ontario Soccer Association) requires that all volunteers must be registered
with the Club. Please complete and return to the Club – a faxed copy is acceptable
Personal Information:
Name: _______________________________________ Home Phone:______________________________
Cell Phone______________________________ Email____________________________________________
Address: ___________________________________ City: __________________________________
Postal Code:_________________ Date of Birth__________________________________________
Day
Month
Year
DOB is mandatory and required for OSA Insurance purposes.
Volunteer Information:
Coaching: _____ For which year group?_______
Assistant Coach:_____ For which year group?_______
Please indicate child’s name if applicable__________________________________________________
Convenor: _______ For which year division?________
Upon acknowledgement and confirmation of my position within the Kleinburg Nobleton
Soccer Club, I, ____________________________, give the Kleinburg Nobleton Soccer Club the
authority to publish my phone number in any official KNSC publication such as manuals,
handbooks, yearbook, web site, etc.
Signed: ______________________________ Date: _______________________________________________
Please circle shirt size (note: KNSC shirts will be distributed in May)
Adult Small, Medium, Large, X Large, XX Large
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