F.C. EMERY TRYOUT FORM 
Thank you for you're interest in our club, we would like to get information so that we can reach out to you on a trial date, so please make sure to fill out the boxes! 

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Please Refer to club for our Code of Conduct, Our Code of Ethics and constitution found on our website https://fcemery.com/clubcodeofconduct.html
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Player Name (First and Last) *
Date of Birth *
MM
/
DD
/
YYYY
E-mail *
Contact Information: Name *
Contact Information: Cell Phone Number *
Contact Information: E-mail Address *
Gender? *
Soccer Type *
Current/Previous Club?
Soccer Level
Team Trying Out For
Position *
Required
By Submitting the Trial Form, I Agree to the following Waiver
In consideration of being allowed to participate in the player tryouts organized by F.C Emery, I, the undersigned, on behalf of myself, my heirs, executors, administrators, and assigns, hereby acknowledge and agree to the following:

Assumption of Risk: I understand that participation in player tryouts involves inherent risks, including but not limited to physical injury, illness, property damage, and the risk of contracting contagious diseases. I voluntarily and knowingly assume all such risks associated with my participation.

Release and Waiver: I, for myself and my heirs, hereby release, discharge, and hold harmless F.C Emery, its officers, directors, coaches, volunteers, and all associated personnel, from any and all claims, demands, actions, or causes of action, whether for personal injury, property damage, or otherwise, arising out of or in connection with my participation in the player tryouts, including any actions or negligence on the part of F.C Emery and its personnel.

Medical Treatment Authorization: I authorize F.C Emery and its representatives to seek and obtain any necessary medical treatment or attention in the event of an injury, illness, or medical emergency during the tryout. I understand that F.C Emery will make reasonable efforts to contact me or my emergency contact before seeking medical treatment, but they may proceed with necessary medical care if immediate attention is required.

Compliance with Rules and Guidelines: I agree to comply with all rules, guidelines, and instructions provided by F.C Emery during the player tryouts.

Photography and Publicity Release: I grant F.C Emery the right to use photographs, videos, or other likenesses of me taken during the tryouts for promotional, educational, and archival purposes.

Parent/Guardian Consent: If the participant is a minor, the parent or legal guardian must consent to this waiver and release of liability on their behalf.
I have read and understand this Waiver and Release of Liability, and I voluntarily sign it as my own free act and deed. I am aware that by signing this document, I am waiving certain legal rights that I or my heirs, executors, administrators, and assigns may have against F.C Emery.

Other Information: Information regarding dates, times, locations etc. will be sent to your email a week before with all other information needed beforehand. 

 By submitting the form I acknowledge the aforementioned described above.

Thank you for interest in the F.C Emery High Performance Program!

We will forward this to the managers and coaches who will reach out to you as soon as they are available...

Any concerns can be emailed to inquiries@fcemery.com

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