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AYSO United Silicon Valley Tryouts & Waiver 2022/2023
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1.) Player's First Name *
2.) Player's Last Name *
3.) Player's Gender *
4.) Players Birth Year *
5.) Primary Parent/Guardian Name *
6.) Email Address *
7.) Confirm Email Address *
8.) Mobile Number *
9.) City *
10.) Playing Experience
DISCLAIMER, ASSUMPTION OF RISK AND WAIVER: I acknowledge that participation in soccer tryouts necessarily involves travel, play in adverse field conditions, contact with considerable force, and risk of severe and/or permanent physical injury. I WILLINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS. I willingly and voluntarily agree to comply with the stated and customary terms and conditions for participation and, if Player or I observe any concern in Player''s readiness for participation in the EVENTS, I will remove him/her from participation and bring such concern to the attention of the nearest official immediately. I HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS, to the fullest extent permitted by law, AYSO, its players, employees, volunteers, officials, sponsors and other representatives and any and all owners, lessors, lessees or other persons or entities allowing, permitting or authorizing the use of facilities by AYSO and the agents, employees, officers and directors of said persons or entities (“RELEASEES”) from any and all claims, demands, costs, expenses and compensation arising out of or in any way related to an injury or other damage that may result to said participant or to members of my family or my household or individuals I invite or for whom I am otherwise responsible while participating in or present at any of the EVENTS, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I further acknowledge and accept that this Disclaimer, Assumption of Risk and Waiver is intended to be as broad and inclusive as permitted by the laws of the state in which we live and agree that if any portion of this Disclaimer, Assumption of Risk and Waiver is deemed to be invalid, the remainder will continue in full legal force and effect. ACKNOWLEDGEMENT AND CONSENT: I understand the terms of the Soccer Accident Insurance Plan are set forth in a pamphlet available from the Safety Director of my region or on-line at http://www.ayso.org/resources/insurance/insurance_forms.aspx,as the same may be amended from time to time, and either I have read and understand the terms or I will do so before permitting Player to participate. I further acknowledge that I have received the AYSO/CDC Parent/Athlete Concussion Information Sheet (also available online at http://www.ayso.org/resources/safety.aspx) which contains information related to a) signs and symptoms of a concussion; b) danger signs associated with a concussion; c) why athletes should report symptoms related to a concussion; and d) what should be done if a concussion is suspected. I agree to review the Parent/Athlete Concussion Information Sheet with my child (Player) and return a signed copy as indicated on the form to my child’s coach. For internal and external use, AYSO may obtain, compile and use contact information, soccer photographs and audio visual recordings of Player consistent with the AYSO Privacy Policy set forth at http://www.ayso.org,as may be amended from time to time.I consent to such uses and hereby waive all rights to approval and compensation. On behalf of myself, or Player (if Parent), and all members of my family or child’s family, I hereby agree to abide by the AYSO Bylaws, rules, regulations, policies and philosophies as available at http://www.ayso.org,as may be amended from time to time, and all decisions and directions of the Regional Board, Area and Section staff, and the National Board of Directors. I represent that Player has not been convicted of any crime nor does Player have any known condition that might pose undue risk to other participants. EMERGENCY AUTHORIZATION: I, the undersigned parent or legal guardian of the above-named player, a minor (“Player”) hereby authorize each of the coaches, team parents, and/or other officials of AYSO to act as my agents in the capacity of activity supervisors and vehicle drivers, and I authorize each of them as well as the above-identified Emergency Contact to consent to medical, surgical or dental examination and/or treatment. I warrant and acknowledge that I am the parent or legal guardian of the player named on the reverse side of this application, a minor (“Player”) and that I am authorized on behalf of myself, Player and our heirs, assigns and next of kin, to hereby enter into the following agreements IN CONSIDERATION OF Player’s being able to participate in any way at practices, games or other activities (“EVENTS”) sanctioned by the American Youth Soccer Organization (“AYSO”). *
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