2024/2025 Season FCA Tryout Registration

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Email *

Important Information - Please Read!

REGISTRATION REQUIREMENTS

- Registration is required for ALL NEW players to the FCA program. This includes current WCCYSL (In-House) players.
- Existing FCA players are also required to attend, but SHOULD NOT register. Existing FCA players should wear their FCA training shirts to tryouts.

ELIGIBLE BIRTH YEARS

- Boys: 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007*, 2006*
- Girls: 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007*, 2006*

* Please note that there are no existing FCA teams at the 2007 age group or older. If enough players sign up to form a new team, we will hold tryouts. If there are not enough players signed up to form a new team, we will unfortunately have to cancel the tryout and notify all registered players.

TRYOUT SCHEDULE

- The tryout schedule for all eligible birth years is listed at the end of this form.
- All tryouts will be held at De Anza High School (5000 Valley View Rd, Richmond, CA 94803).
- Please arrive at least 15 minutes before your tryout to check in.
- Bring cleats, shinguards, and water. All NEW players will be given a number to wear.

If you have any questions, please contact:

Emily Wilson
Director - FCA
fca@wccysl.com

Parent/Guardian Phone Number (XXX-XXX-XXXX) *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Player First Name *

Player Last Name *

Player Birth Year *

Player Gender *

Female

Male

Player's Current/Previous Club *

May 2024 FCA Tryout Schedule

All Tryouts Are Held at De Anza High School in El Sobrante *

Please check this box to acknowledge that you've read the tryout schedule above & noted the date, time, & location of your child's tryout. If you are unable to attend the scheduled tryout day, please notify Emily Wilson (Director - FCA) at FCA@wccysl.com.

Required

PLAYER'S MEDICAL INFORMATION

In an emergency when parent/guardian cannot be reached, please contact the following:

Emergency contact name *

Emergency contact phone number (XXX-XXX-XXXX) *

Please list player allergies *

Please list other medical conditions *

Physician name *

Physician/hospital phone number (XXX-XXX-XXXX) *

Medical/Hospital Insurance Company *

Policy Holder's Name *

Policy Number *

MEDICAL TREATMENT AND LIABILITY WAIVER

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 and 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 the West Contra Costa Youth Soccer League (WCCYSL) and Football Club Alliance (FCA), US Club Soccer, 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 as a result of that player’s participation in FCA soccer tryouts and/or being transported to or from the same, which transportation I hereby authorize.

Medical Treatment and Liability Waiver Acknowledgement *

Please check here to acknowledge that you agree to the terms of the above medical treatment and liability waiver.

Required

A copy of your responses will be emailed to the address you provided.

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