SWSA 2018/2019 Travel Tryout Registration
Travel soccer fee is $175 per season. Payment will be due upon selection to team.
Player First Name *
Your answer
Player Last Name *
Your answer
Player Birthdate *
MM
/
DD
/
YYYY
Confirm Player Birthdate *
mm, dd, yyy
Your answer
Player Gender *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent email *
Your answer
Confirm parent email *
Your answer
Parent Phone Number *
Your answer
My child is attending the following team tryout *
You need to attend the tryout at your birth year but can also tryout for 1 age group above
Waiver Form *
Recognizing the possibility of physical injury associated with soccer and in consideration for New Jersey Youth Soccer accepting the registrant for its soccer programs and activities (the Program), I hereby release, discharge and/or otherwise indemnify the New Jersey Youth Soccer, its affiliated organizations and sponsors, their employees and associated personnel, including the owner of fields and facilities utilized for the Programs against any claim by or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the cost of each assistance and/or treatment.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
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