Uploaded by Henok Leake

2023 L1O STRP Template-1

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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
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