Real So Cal-SCV TRYOUT Registration 2020-21
www.realsocal-scv.org
Player's First Name *
Your answer
Player's Middle Name or Initial
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Player's Last Name *
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Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Please list player's prior experience *
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Please list player's position *
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What Age Group Are You Trying Out For?
Address *
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City *
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State *
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Zip Code *
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Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Home Phone *
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Cell Phone
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Email Address *
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How did you hear about us? *
Waiver
This is to certify that I, as the parent or guardian with legal responsibility for the above-named participant, do hereby consent to the above-named minor’s participation in the Real So Cal-SCV tryouts and agree to the foregoing release on behalf of the above named participant. I agree to defend, indemnify, release, discharge and hold harmless “Santa Clarita Valley Soccer Association” (d.b.a. Santa Clarita Valley Soccer Club, Real So Cal-SCV), its staff, principals, owners, employees, agents, directors, officers and sponsors, and all other participants of activities within the club from any and all claims, causes of action, demands, damages and liability that may arise out of, or related to any property damage, physical injury, loss or harm that may occur to the above named participant while participating in any activity conducted by “Santa Clarita Valley Soccer Association”.
I am familiar with the nature of soccer. I understand that soccer can be physical and can possibly lead to bodily injury. I knowingly, freely and voluntarily assume such risk on behalf of the above-named participant.
Emergency Contact and Phone Number *
Your answer
Emergency Authorization
I, the undersigned parent or legal guardian of the above player, who is a minor, hereby authorize Santa Clarita Valley Soccer Association (d.b.a. Santa Clarita Valley Soccer Club, Real So Cal-SCV) staff, to obtain or provide medical, surgical, or dental examination and/or treatment in the event of an emergency.
Medical Conditions That We Should Be Aware of
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Please carefully review the following information!
Parent's Signature *
I have read this "Participation Agreement, Release of Liability, Emergency Authorization and Tryouts Procedure and Registration Info" and fully understand and acknowledge that I will be giving up substantial rights by submitting and/or printing and signing it and that I have signed it freely and voluntarily without any inducement or coercion.
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