logo
5010 South Service Road
Burlington, ON   L7L 5Y7
E-mail: contact@burlingtonsoccerleague.ca

BSL 2017 Player Registration Sign-Up Form

Enter your OSA number and click 'Find'.
OSA Number


Complete the Form Below
We ask that you fill this form in completely. It is for league use only and no information will be passed on to any other person, vendor or agents other than our governing bodies.

Required Information
FIRST NAME MIDDLE INITIAL LAST NAME

GENDER STREET ADDRESS CITY , Ontario

POSTAL CODE DATE OF BIRTH (mm/dd/yyyy) / /

HOME PHONE - - ALT. PHONE (optional) - -

E-MAIL ALT. E-MAIL (optional)


TEAM



Click Submit to Process the Registration