TRYOUTS FORM

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TRYOUTS FORM

Thank you to all of our families for their continued support and participation.

WELCOME!!!

Player's Full Name * *

Parents First & Last Name, (email) * *

Best number to reach you/emergency number* *

Address * *

Player's Date of Birth *

YYYY

Primary Position *

Forward

Defender

Midfielder

Goalkeeper

Required

Any Current or Past Injuries *

Yes

Other:

Previous Playing Experience and Achievements *

Yes

Other:

Informed Consent and Acknowledgement

I hereby provide my consent for my child's participation in all activities organized by NY Inter Mex Soccer Club during the season. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify NY Inter Mex Soccer Club and all its officials, representatives, and agents from any responsibility for injuries that may occur to my child during their travel to, engagement in, or return from their participation in the soccer season.

If my child sustains an injury, I waive any claims against the soccer camp, including its coaches, affiliates, fellow participants, supporting organizations, advertisers, and, if applicable, the owners and landlords of the premises where the event is held. Engaging in sports activities, including soccer, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.

I further certify that my child is in good health and has no physical or any other impediment, which would endanger him/her, or any other participant taking part in club activities, tournaments, training, games, and/or any other event. All registrants and participants permit the taking of photographs and videos of themselves and their children during NY Inter Mex Soccer Club activities for publication and use, as NY Inter Mex Soccer Club deems appropriate.

By signing below, I hereby acknowledge that I have completely read and fully understand the Informed and Consent Acknowledgment .I agree and understand that by signing below, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. and Achievements *

Medical Release and Authorization

As the legal guardian of the youth athlete listed, I hereby grant permission for qualified and licensed medical professionals to diagnose and administer treatment in the event of a medical emergency. This authorization is applicable when, in the medical professional's judgment, immediate attention is necessary to prevent further harm to the minor child's life, physical appearance, physical functionality, or to alleviate undue pain, suffering, or discomfort should there be a delay in treatment.

I hereby give consent to the attending physician to undertake any necessary medical or minor surgical procedures, conduct X-ray examinations, and administer immunizations to the youth athlete named. In cases of a serious illness, the requirement for major surgery, or significant accidental injury, I am aware that the attending physician will make every reasonable effort to contact me as swiftly as possible before proceeding with treatment. This authorization is granted after a reasonable attempt has been made to reach me.

I also authorize the affiliated individuals, including Directors, Coaches, and Team Parents, to provide essential emergency treatment before the child is admitted to a medical facility.

This consent is valid during the dates and for the duration of the registered season. I willingly provide this authorization to ensure prompt medical treatment under emergency circumstances, safeguarding the life and well-being of the named minor child when I am not present.

By signing below, I hereby acknowledge that I have completely read and fully understand the Medical Release and Authorization .I agree and understand that by signing below, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

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