PEEL HALTON SOCCER ASSOCIATION
PLAYER RELEASE FORM
SEASON - INDOOR 20
/ OUTDOOR 20
Player Name
Player OSA#
Club # CD 25
Club Name
Team Name
Age Division
Team # TD 25 -
Competitive
Rep League
or
Recreational
Club League
or
Club Select League
Reason for Release
Player Reassigned to Club League
Player Released from Club – State Reason Below in Detail
Player Registration Book to be attached, if issued.
Player Signature
Date
Coach Signature
Date
Club Registrar(President)
Date
Termination Date
Entered by
DD
MM
Club or by PHSA
YY
Termination date to be entered into the AIMS System to release player.
On completion, return to PHSA Office. For a Competitive Player, book validation page will be stamped
“Cancelled” and dated. Player book must be returned to the player. For a Recreational Player,
the player will be removed from the club assignment.
PHSA Administrator
Date
Copy to be mailed to the Player if unavailable to sign.
DISCIPLINE COMMENTS:
It is the responsibility of the team/club to inform the player of any outstanding discipline.
OSA Policies and Procedures – Discipline 13.5
“If a player is suspended for a specific number of scheduled games in (a) designated competition(s)
and if before the suspension has been fully served, the player leaves the team and registers with
another team, the remaining games in the player’s suspension will be transferred to the games of that team.”
PHSA 18-June-15