Calgary Women’s Soccer Association – Phone: 403-720-6692 Fax: 403-720-6693
Restricted Movement Form for CMSA Registered Players
Player (s) Name: 1) _________________________________________ ID No: ___________________ Birth Date: ____________________
(month/year)
2) _________________________________________ ID No: ___________________ Birth Date: __________________
(month/year)
CWSA Team Playing For: __________________________________________________________________________________
CMSA Team Registered With: _____________________________________________________________________________
Are you Currently Registered within CWSA :  Yes  No
* If yes, DO NOT use this form as player is not eligible
CMSA Players’ Coach/Manager/Parent/Guardian Release to Play: ________________________________________________
(Circle One)
(Print name and sign)
Game Official Signature: ________________________________________________________________________________
All three forms must be filed out individually. Photocopies not acceptable. Forms must be individually signed by the registered coach/manager/parent or
guardian of the player playing up and must be submitted to the game official along with the game sheet together with the players’ individual ID Card.
One copy to remain attached to the game sheet, second and third copy to Home Team and Visiting Team

Calgary Women’s Soccer Association – Phone: 403-720-6692 Fax: 403-720-6693
Restricted Movement Form for CMSA Registered Players
Player (s) Name: 1) _________________________________________ ID No: ___________________ Birth Date: ____________________
(month/year)
2) _________________________________________ ID No: ___________________ Birth Date: __________________
(month/year)
CWSA Team Playing For: __________________________________________________________________________________
CMSA Team Registered With: _____________________________________________________________________________
Are you Currently Registered within CWSA :  Yes  No
* If yes, DO NOT use this form as player is not eligible
CMSA Players’ Coach/Manager/Parent/Guardian Release to Play: ________________________________________________
(Circle One)
(Print name and sign)
Game Official Signature: ________________________________________________________________________________
All three forms must be filed out individually. Photocopies not acceptable. Forms must be individually signed by the registered coach/manager/parent or
guardian of the player playing up and must be submitted to the game official along with the game sheet together with the players’ individual ID Card.
One copy to remain attached to the game sheet, second and third copy to Home Team and Visiting Team

Calgary Women’s Soccer Association – Phone: 403-720-6692 Fax: 403-720-6693
Restricted Movement Form for CMSA Registered Players
Player (s) Name: 1) _________________________________________ ID No: ___________________ Birth Date: ____________________
(month/year)
2) _________________________________________ ID No: ___________________ Birth Date: __________________
(month/year)
CWSA Team Playing For: __________________________________________________________________________________
CMSA Team Registered With: _____________________________________________________________________________
Are you Currently Registered within CWSA :  Yes  No
* If yes, DO NOT use this form as player is not eligible
CMSA Players’ Coach/Manager/Parent/Guardian Release to Play: ________________________________________________
(Circle One)
(Print name and sign)
Game Official Signature: ________________________________________________________________________________
All three forms must be filed out individually. Photocopies not acceptable. Forms must be individually signed by the registered coach/manager/parent or
guardian of the player playing up and must be submitted to the game official along with the game sheet together with the players’ individual ID Card.
One copy to remain attached to the game sheet, second and third copy to Home Team and Visiting Team