BOCA JRS. LOS ANGELES 2016 PLAYER PROFILE FOR TRY OUTS
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PLAYER FIRST AND LAST NAME *
TRY OUT DATE ATTENDING *
PLAYERS DATE OF BIRTH *
PARENTS NAME *
PARENTS EMAIL ADDRESS *
PARENTS CELL PHONE NUMBER *
HOW MANY YEARS HAS PLAYER PLAYED COMPETITIVE SOCCER? *
HOW MANY YEARS HAS PLAYER PLAYED RECREATIONAL SOCCER?
LIST ALL CLUBS AND COMPETITIVE LEVELS THAT PLAYER HAS PLAYED ON
LIST ALL RECREATIONAL LEAGUES THAT THE PLAYER HAS PLAYED ON
WHAT IS THE PLAYERS PRIMARY POSITION? *
WHAT IS THE PLAYERS SECONDARY POSITION? *
Photo Release Waiver Authorization and Release
I hereby grant permission to the Boca Juniors - Los Angeles,  and its officers, trustees, employees, agents, students, representatives, successors, licensees and assigns (hereinafter "Boca Jrs.") to photograph my image, likeness, or depiction and/or that of my minor children (if applicable). I hereby grant permission to Boca Jrs. to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I
hereby consent to and permit photographs of me and/or those of my minor children to be used by Boca Jrs., worldwide, for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that Boca Jrs. may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for Boca Jrs.'s use or publication of photographs of me and/or those of my minor children (if applicable). I hereby fully and forever discharge and release Boca Jrs from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me and/or those of my minor children (if applicable) by Boca Jrs., and covenant and agree not to sue or otherwise initiate legal proceedings against Boca Jrs. for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and
understandings contained herein are irrevocable.  I acknowledge and represent that I am over the age of 18, have read this entire document,
that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).
Dated:
Name of Parent of Minor child
Signature of Parent of Minor Child
Name of Minor Child
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