SHORT TERM REGISTRATION PERMIT (STRP) This form must be completed and submitted by the Club to the League1 Ontario (L1O) League Administrator. The Club will be notified by the League Administrator once the permit is validated. PLEASE NOTE: a) League1 Ontario does not allow players who are registered in the Ontario Soccer registration system (OSCAR) solely via an STRP to be listed on the official game sheet for an official L1O Match. If a short-term registrant participates in an official L1O match, they will be deemed ineligible, and the club shall face a penalty as per the L1O Discipline Code. b) The STRP shall be used by L1O teams to register players with Ontario Soccer (for a maximum period of 30 days) for the purpose of: c) i. participating in any type of Tryout/Trial activity with the L1O team, and/or ii. participating in Exhibition (Friendly) Matches that are not part of the official L1O schedule, and/or iii. participating in training sessions only (with no intention of participating in an official L1O match). An STRP may be used to temporarily register a player (maximum 30 days) who was last registered outside of Canada or last registered outside of Ontario and who thus requires an International Transfer Certificate (ITC) or an InterProvincial Transfer Certificate (IPTC) to register to play in official soccer matches in Ontario. However, while temporarily registered via an STRP, such players may not participate in an official soccer match. Section A – REGISTRATION (PER ONTARIO SOCCER OPERATIONAL PROCEDURE 8.0) A “Short Term Registration Permit” is a temporary registration with Ontario Soccer which shall only be used by players who are not already registered with Ontario Soccer for the 2022-2023 Indoor Season or the 2023 Outdoor Season. THE SHORT-TERM REGISTRANT NAMED IN SECTION B SHALL PARTICIPATE IN THE FOLLOWING (CHECK ALL THAT APPLY): EXHIBITION MATCH TRYOUT AND/OR TRAINING Section B – PLAYER INFORMATION PLAYER NAME: Henok Tesfamichael HOME ADDRESS: CITY: Kitchener 305-1243 Queen's BLVD PROVINCE/STATE: Ontario POSTAL CODE: N2M MOBILE PHONE #: 2266984823 HOME PHONE #: DATE OF BIRTH: 29th, May 2001 1C5 COUNTRY: Canada EMAIL: Henileake@gmail.com CITIZENSHIP: Eritrean Section C – CLUB / TEAM INFORMATION CLUB NAME: BVB IA Waterloo L1O TEAM FOR WHICH THE PLAYER WILL PARTICIPATE MEN’S PREMIER DIVISION TEAM WOMEN’S PREMIER DIVISION TEAM MEN’S RESERVE DIVISION TEAM WOMEN’S RESERVE DIVISION TEAM MEN’S U19 DIVISION TEAM WOMEN’S U19 DIVISION TEAM Section D – CLUB REGISTRAR AUTHORIZATION NAME: SIGNATURE: DATE: CLUB THE PLAYER NAMED IN SECTION B WAS LAST REGISTERED: COUNTRY THE PLAYER NAMED IN SECTION B WAS LAST REGISTERED: YEAR THE PLAYER NAMED IN SECTION B WAS LAST REGISTERED: WARNING: Any person providing false information or withholding the required information in this section shall be suspended from all soccer activities for one year. Section E – PLAYER DECLARATION AND AGREEMENT I have not registered with any other team in Ontario for this season. I understand that after this form has been validated by Ontario Soccer, I will be registered with Ontario Soccer for the predetermined number of games or period of time as outlined on this form and only with the team specified on this form. During the period indicated on this STRP form, I am eligible for Ontario Soccer insurance and am subject to the discipline of Ontario Soccer. This form will be the definitive proof of insurance and registration with Ontario Soccer. I agree to abide by the Governing Documents of Ontario Soccer, its District Associations, Leagues and Clubs/Academies NAME: Honek Tesfamichael SIGNATURE: DATE: Section F – ONTARIO SOCCER VALIDIATION / APPROVAL NAME: SIGNATURE: DATE: 14th, Dec 2023