2018-19 Boca Juniors Club Tryout Registration
Annual Soccer Tryout Registration for the 2018-19 Season
Player's Last Name *
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Player's First Name *
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Date of Birth *
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Parent's Name *
Your answer
Parent's Email Address *
Your answer
Parent's Phone Number *
Your answer
Current Club/Team *
Your answer
Region *
Player's Primary Position
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How did you hear about us? *
Photo Release, Waiver, & Authorization *
***PLEASE SIGN (by typing your name) AND DATE BELOW THAT YOU AGREE TO THE FOLLOWING TERMS.*** I hereby grant permission to the Boca Juniors - Los Angeles, and its officers, trustees, employees, agents, students, representatives, successors, licensees and assigns (hereinafter "Boca Jrs.") to photograph my image, likeness, or depiction and/or that of my minor children (if applicable). I hereby grant permission to Boca Jrs. to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I hereby consent to and permit photographs of me and/or those of my minor children to be used by Boca Jrs., worldwide, for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that Boca Jrs. may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for Boca Jrs.'s use or publication of photographs of me and/or those of my minor children (if applicable). I hereby fully and forever discharge and release Boca Jrs from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me and/or those of my minor children (if applicable) by Boca Jrs., and covenant and agree not to sue or otherwise initiate legal proceedings against Boca Jrs. for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable. I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).
Your answer
Participant Release & Waiver *
***PLEASE SIGN (by typing your name) AND DATE BELOW THAT YOU AGREE TO THE FOLLOWING TERMS.*** I understand that there are risks associated with playing all sports and field related activities. In consideration for the privilege to use the facility and/or attend tryouts, my signature indicates that I assume the risk of any injuries that myself or my children/wards may sustain while participating in any activity at Panorama High School and/or St. Anthony High School and for any injuries which myself or my children/wards may sustain while on the premises of Panorama High School and/or St. Anthony High School. I insure that I am, or my child is, physically and mentally able to participate in physical activities and have been examined by a licensed medical physician within one (1) year prior to attending this clinic/camp.I give permission for camp trainers and coaches or contracted health care to start preliminary treatment and arrange transportation for me or my child to a local Emergency Room in the event that I or my child become(s) ill or injured.By signing this Waiver and Liability Agreement, I acknowledge that I HAVE READ AND FULLY UNDERSTAND AND AGREE TO ALL OF ITS TERMS AND CONDITIONS INCLUDING PERMISION TO TREAT AGREEMENT. I further state that I have executed this waiver and liability voluntarily and with full knowledge of its significance to be binding on my, my heirs, executors, administrators and assigns.
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