Roseville Premier Supplemental Tryout Registration
Roseville Premier wrapped up the in person tryouts on June 21st. The official Norcal Premier League transfer window is still open and you are able to join or transfer between clubs through July 26th 2020. If you wish to speak attend a supplemental tryout or determine roster spots available, please complete the form and we will reach out to you.
Email address *
Alternative Email Address
Contact Phone Number *
Player First Name *
Player Last Name *
Player Gender *
Age Group (Year your player was born) *
We want to tryout an age group higher / ignore if 'no'
Primary Position
2019 Level of Play
Are you a returning player? *
If no, where did you play last year?
Medical Treatment Auth. and Liability Waiver *
Required
I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment should it become necessary during, before or after the tryout activity. I agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify Roseville Youth Soccer Club and Roseville Premier, US Club Soccer, Cal North, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above.
A copy of your responses will be emailed to the address you provided.
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