AGSA U19 Team Interest Form
Thank you for registering your interest with our U19 boys and girls teams for the 2020/21 season. Please fill out the form below, and we will email you details of our upcoming informational Zoom meeting scheduled for 8:30pm on Tuesday April 28. At that meeting we will present the program to you, discuss how we intend to move forward with selecting the teams, and answer any questions you may have. In the meantime, please do not hesitate to reach out to Coach Godwin with any questions you may have at
Team Interested In
Date of Birth
Fall 2020 Grade
Post-grad but eligible for u19 age group
Known injuries/allergies/medical conditions
Emergency Contact Phone Number
Please read the following waiver and sign your name at the bottom: For being allowed to participate in the Adam Godwin Soccer Academy Tryouts I hereby agree to assume full responsibility for any injury, sickness, or health defect resulting from or received during participation in the above mentioned activity. Further, I agree to release indemnify and save harmless Adam Godwin, his staff, Randolph College, their committees and sponsors from any liability, damage claim or judgment that may result from or arise out of my participation in this activity.
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