Elite FC Comp 2021-2022 Try Out Form

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Email *

Players Name *

Player DOB *

YYYY

Player: Boy or Girl *

Girl

Boy

Parent or Player Guardian Name *

Parent or Player Guardian Phone Number *

Player's level of experience? Please list REC or COMP Experience. *

What Age Group are you Trying Out For? *

What is your Player's current or last Coaches Name? *

In the event of an on-field emergency, do you give consent to treat your player to the best of ability to preserve life and limb while awaiting professional assistance? *

Yes

Does your Player have a temperature at ≥ 38°C (100.4°F) or ≤35°C (95°F)? *

Yes

Maybe

Is your Player currently experiencing any symptoms including fever, cough, shortness of breath, lost sense of smell or taste, nausea/vomiting/diarrhea? *

Yes

Maybe

Do you have anyone in your household that has tested positive for COVID-19, or exhibited a fever, cough, or shortness of breath? *

Yes

Maybe

Does your Player have any Special Needs you would like Elite FC to be aware of? *

By entering your name in the field below, you are providing your electronic signature, indicating you will inform Elite FC of any changes to your Player or household status as it relates to compliance with Tooele County Health Department's current guidelines for COVID19 community spread prevention. *

Elite FC is collecting your email and phone number for the purpose of communications related to youth soccer. Do you consent to Elite FC using your email to communicate youth soccer information? *

Yes

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