Tryout Registration and waiver for Michigan Rush 2017-2018 Players
Please register a minimum of 2 days prior to coming to tryouts.
Last of Player
Your answer
Michigan Rush Tryout Locations
Please pick one of the five clubs for Michigan Rush
First Name of Player
Your answer
Address Street
Your answer
City Residing
Home Town of Player
Your answer
Zip Code
Your answer
Gender
Birth Month
Please Select the Month
Birth Year
Age Group you will be tryout for this Fall.
Please do not play up for tryouts
What Age Group did you play this Current Spring?
Required
Current Club or Played Last
Your answer
Current Team
Your answer
Position Played
Required
Parents First names
Your answer
Cell Phone of Parent
Your answer
Email
No Spam will be sent to this email, only club related news and announcements.
Your answer
History as a player:
Please tell us a little about the player, clubs, positions, likes...Limited to 190 characters.
Your answer
Interest in the Rush Jr. Academy?
For players 7 years or younger.
Waiver
RELEASED AND INDEMNITY AGREEMENT: In consideration of being allowed, to participate in any way in Michigan Rush or Northville Soccer Association (NSA) sanctioned soccer activities, the undersigned:1. Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe noneconomic and economic losses which might result not only from their own actions or inactions but the negligence of others, the rules of play, or the condition of the premises or of any equipment used, and acknowledge further, that there may be other risks not known or not reasonably foreseeable at this time; 2. Assumes all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent disability or death. 3. Releases, waives, discharges, and covenants not to sue nor make claim against the NSA, City of Northville, Northville Township, (including the Department of Parks and Recreation), City of Trenton (including the Department of Parks and Recreation), City of Jackson (including Marino's Park, The Playing Fields and Central Soccer), Capital Area, Edsel Ford High School, Holt High School, Hamburg Township, Hamburg Parks and Recreation Dept., Hamburg Soccer Club, or their respective administrators, directors, agents, coaches and employees or owners/lessors of premises utilized, for losses or damages on account of injury, including death or damages to property, caused or alleged to be caused in whole or in part by the negligence of the "Releasee". 4. As a parent I assume the responsibility for the safety of my child: walking them to the fields, inspecting the fields for dangerous objects, faulty equipment, and holes, determining when inclement weather could endanger my child and acting to take them to safety, and to keep my child from climbing on soccer goals or nets. I will take responsibility for any litter I or my children create and do my best to keep all our soccer areas clean & safe. 5. I attest that I am eighteen (18) years or older, and that my child is physically fit and have no known medical conditions which will prohibit participation in the sport. 6. In further consideration for my child's participation, I hereby agree to hold harmless, defend and indemnify the City of Northville, Township of Northville, Northville Parks and Recreation Department, Northville Soccer Association, City of Trenton, Trenton Parks and Recreation Department, Hamburg Township, Hamburg Parks and Recreation Dept., Hamburg Soccer Club, and their respective administrators, directors, agents, coaches and employees and owners and lessors of premises utilized, from any claims or causes of action or liability resulting from my child's conduct or injury resulting from participation in the program. I further agree to accept and abide by all the rules, regulations, code of conduct and policies stated by the Northville Soccer Association.
Required
Phone Numbers Other
Your answer
Year your player was born. We want to confirm the correct birth date of this player.
We get a lot of errors with the birth year, please confirm.
Birth Month
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