North Valley United 2021/2022 Tryout
Date: Dec 11th, 2021 (Saturday)
Location: Sheppard Middle School (480 Rough and Ready Rd, San Jose)

Age Group:
2014, 2013, 2012 (U8-U10 B/G): 1-2pm
2011, 2010 (U11-U12 B/G): 2-3pm
2009, 2008, 2007 (U13-U15 B/G): 3-4pm

** No Current registered Norcal Players may attend**
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Player's First Name *
Player's Last Name *
Player's Birth Year (2010, 2009, etc) *
Player's Gender *
Parent First and Last Name *
Parents Email Address *
Parents Phone Number (Optional)
Years of Competitive Play Experience? *
Former league (If NOT NVYSL)
Prior Coaches Name
Additional Comments
Liability Release and Waiver
A. Consent for Medical Treatment (Minor)  *

As the parent or legal guardian of the above-named Player, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. Please confirm consent below.

B. Liability Release Form *

I, the Player, or parent/guardian of the minor Player, acknowledge that soccer is an inherently dangerous sport in which the Player participates at his/her own risk. I, for myself and the Player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify the (1) U.S. Youth Soccer and US Club Soccer, their affiliated organizations and its sponsors, (2) the North Valley Youth Soccer League, its officers, directors, coaches, team managers, volunteers, agents, representatives and assigns, (3) the Berryessa Unified School District and its subdivisions, the City of San Jose and all other organizations providing fields for play, including their agents, officers, directors, contractors, employees, representatives and assigns (collectively “Released Parties”), from and against all claims, liabilities, damages or causes of action arising out of or in connection with the Player’s participation in any and all North Valley Youth Soccer League programs. I affirm that the Player is in good physical condition. I understand that the North Valley Youth Soccer League does not carry medical insurance for Players participating in tryouts, practices, friendly scrimmages and other North Valley Youth Soccer League sponsored activities, and that I am responsible for the Player’s insurance coverage until the Player is officially registered as a Player with the California Youth Soccer Association or US Club Soccer. Please confirm release from liability below.
I have read and agree to the Liability Release and Waiver *
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