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

BSL Registration Sign-Up Form for Match Officials

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)



Click Submit to Process the Registration