Sac United

2008 Tryout Pre-Registration - Schedule & Additional Information...

Player Information

Player Name on Birth Certificate:
First Name:	Middle: Last:
If different, name player uses:
First Name:	Middle: Last:
Date of Birth	,
Gender: Boy Girl
Primary Position:
Secondary Position:
Returning Sac United player? Yes No
If No, last club:	team:

Parent/Guardian Contact Information

First Name:		Last Name:
Email Address:
Re-enter Email:	for input verification
Secondary Email:
Primary Phone:
Secondary Phone:
Mailing Address:
Street:
City:		State: Zip:

Parent/Guardian Waiver

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the USYSA, its affiliated organization and sponsors. Recognizing the possibility of physical injury associated with soccer and in consideration for the USYSA accepting the registrant for its soccer program and activities (“The program”), I hereby release, discharge and otherwise indemnify the USYSA, its affiliated organizations and others, their employees and associated personnel, including the owners of the fields and facilities utilized for the program against any claims by or on behalf of the registrant as a result of the registrant’s participation in the program and/or being transported to or from the game, which transportation I hereby authorize.

I Agree I Do Not Agree

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