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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 Notice: Undefined index: Gender in /home/denis/domains/burlingtonsoccerleague.ca/public_html/BSLApp/RegistrationForm.php on line 504 Notice: Undefined index: Gender in /home/denis/domains/burlingtonsoccerleague.ca/public_html/BSLApp/RegistrationForm.php on line 509 Male Female 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