AYSO United 'ID 64' - Registration Form
Complete this form to register your child for the upcoming AYSO United ID64 Program.

"ID64 is American Youth Soccer Organization (AYSO) United’s player identification program designed to provide a platform for AYSO's most talented players to showcase their abilities at the highest level possible. ID64 pays homage to the year AYSO was founded, under the principles of developing players to play at the highest level here in the US. ID64 is an important component of our AYSO player pathway, providing the AYSO player the opportunity to play at all levels whilst enjoying the game under our historic six philosophies. ID64 is not only a part of our rich history, but it is also part of our exciting future!" #WeAreUnited #ID64

Email address *
PLAYER
Name of Player *
Your answer
Gender *
Age Group *
Playing Position (1st & 2nd position preference) *
Your answer
Current AYSO United Hub Club *
Current AYSO United Team Coach
Your answer
PARENT/GUARDIAN
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
IMPORTANT WAIVER
I, the parent/guardian of the above mentioned player, a minor, agree that I and the player will abide by the rules of AYSO, and its affiliated organizations and sponsors, specifically AYSO United.
Recognizing the possibility of physical injury associated with soccer and in consideration of AYSO United accepting the player for ID64 tryouts, I hereby release, discharge and /or otherwise indemnify the American Youth Soccer Organization, AYSO United and their affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities, utilized for the tryouts, against any claim by or on behalf of the player as result of the player’s participation in the tryouts and/or being transported to or from same, which transportation I hereby authorize.
Authorization of Waiver (Type your full legal name) *
Your answer
Date (mm/dd/yy) *
Your answer
CONSENT FOR MEDICAL TREATMENT (MINOR)
As the parent or legal guardian of the above named player, I hereby consent that in my absence, AYSO and/or AYSO United may call for emergency medical services (911) and I expressly consent to any treatment carried by any responding personnel or emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
Authorization Consent for Medical Treatment (Type your full legal name) *
Your answer
Date (mm/dd/yy)
Your answer
EMERGENCY CONTACT
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
THANK YOU
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