SCCL 2020 Summer League Tryouts Registration
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Player Last Name *
Player First Name *
Player DOB *
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DD
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YYYY
Gender *
Current Club *
Current Team's Age Group *
Current Team's Name *
Parent/Guardian Last Name *
Parent/Guardian First Name *
E-mail Address *
Phone Number (no spaces - 1234567890) *
Waiver:                                                                          I, being the Parent/Guardian of the player listed above, hereby give electronic approval to his/her participation in all tryout activities. I recognize the possibility of serious injury to such player and assume all risks and hazards related to such participation. I hereby release, discharge, absolve, and indemnify and agree to defend and hold harmless, US Soccer, US Club Soccer, Southern Soccer Academy and it’s affiliates, sponsors, employees, coaches, representatives and agents from and with respect to any claim, cause of action, liability, expense or obligation arising in connection with, or related to, such players participation in the tryout and related activities. I hereby grant permission to the club's coaching staff, in my absence, to authorize and obtain medical care and treatment from any licensed physicians, nurses or medical personnel to the extent deemed necessary by such physician, nurse or medical personnel and I assume full financial responsibility for said treatment. *
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