Player Registration

2018/2019 Alliance Futbol Club Tryouts - (Summit SC)

Option:  

Required  Price: $0.00
Description: Alliance FC Tryout June 8 - June 10, 2017 @ Raytown Soccer Complex
 = Required Field

 Player Information

 
 
 
 
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  AGE GROUP ('18-'19) 
 
 
                    
 
 
 Player Parents: 
 Player Email: 
 Emergency Contact 
 Emergency # 
 How many years has your child played ?   
Comments 

 Liability Release

LIABILITY RELEASE

MUST be agreed to by parent or legal guardian of player.  Coaches must sign when completing form on self.

I, the parent or legal guardian of the above registered player, a minor, agree that I and the player will abide by the rules and regulations of the USYSA, its affiliated organizations, and sponsors ("USYSA Parties").  In consideration of the player's participation in the soccer Programs and activities of the USYSA Parties (the Programs), I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the USYSA Parties, the owners and operators of the facilities used for the Programs, and their respective directors, officers, employees, agents and representatives from and against all claims, liabilities, damages or causes of action arising out of or in connection with the player's participation in the Programs including, without limitation, player's transportation to/from any program, which transportation is hereby authorized.  I future grant the USYSA Parties the right to use the Player's name, picture and/or likeness in printed, broadcast and other material concerning the Programs provided such use is related to the player's status as a participant in the Program.

 Signature and date   

 CONTACT INFORMATION

GUARDIAN #1

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
GUARDIAN #2

 
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

 Contact Info