Impact City FC - St Louis Club Team Tryouts

Learn more about Impact City FC:  https://www.impactcityfc.com/

Development Model & Club Costs:  ICFC Development Model & Club Cost

TRYOUTS LOCATION 
Cottleville City Fields (CCF)- 5854 State Rte N, Cottleville, MO 63304

SATURDAY, JUNE 8, 2024

8:30am – 9:30am 

2017 Girls- Cottleville City Fields #1A
2017 Boys- Cottleville City Fields #1B
2016 Girls- Cottleville City Fields #1C
2015 BoysCottleville City Fields #1D
2015 Girls- Cottleville City Fields #2B
2014 Girls- Cottleville City Fields #2A
2013 Boys- Cottleville City Fields #2C&D
2013 Girls- Cottleville City Fields #2A

---------------------------------------------------------------------------------------------------------------------------------------------------

10:00am –11:00am

2016 Boys- Cottleville City Fields #1B
2012 Boys- Cottleville City Fields #2C
2010 Girls- Cottleville City Fields #1C&D
2010 Boys- Cottleville City Fields #2A&B
2009 Girls- Cottleville City Fields #1C&D
2009 Boys- Cottleville City Fields #2A&B
2008 Girls- Cottleville City Fields #1A
2007 Boys- Cottleville City Fields #2D
2006 Boys- Cottleville City Fields #2D

---------------------------------------------------------------------------------------------------------------------------------------------------

11:30am – 12:30pm

 2014 Boys- Cottleville City Fields #1B&A
 2012 Girls- Cottleville City Fields #1C&D
 2011 Girls- Cottleville City Fields #1C&D
 2011 Boys- Cottleville City Fields #2A&B
 2008 Boys- Cottleville City Fields #2D&C

Sign in to Google to save your progress. Learn more
Email *
If you have multiple children, please complete one form per child. 
If you have any questions on ICFC Tryouts, please reach out to Club Admin, Christy Schlautman cschlautman@impactcityfc.com. Thank you!
PLAYER'S FIRST NAME *
PLAYER'S LAST NAME *
PLAYER'S GENDER *
PLAYER'S DATE OF BIRTH *
MM
/
DD
/
YYYY
WHICH SESSION WILL YOU BE ATTENDING?
*
PLAYER'S POSITION *
Required
PLAYER'S DOMINANT FOOT *
(IF APPLICABLE) PLEASE INDICATE WHETHER YOU WILL BE IN 8TH GRADE OR 9TH GRADE / 11TH OR 12TH GRADE STARTING IN THE FALL OF 2024.
*
PARENT/GUARDIAN'S FIRST NAME *
PARENT/GUARDIAN'S LAST NAME
*
PARENT/GUARDIAN MOBILE NUMBER *
PARENT/GUARDIAN'S EMAIL *
PLAYER'S HOME ADDRESS *
PLAYER'S PREVIOUS CLUB (if applicable)
PLAYER'S EXPERIENCE LEVEL *
HOW DID YOU HEAR ABOUT IMPACT CITY FC? *
WHY ARE YOU INTERESTED IN PLAYING AT IMPACT CITY FC? *
Acknowledgment of Risk & Liability Waiver
I acknowledge that participation in youth athletics programs, camps, tryouts, and tournaments carries the risk of bodily injury, including but not limited to serious permanent injury and death. I understand that such injuries may occur even in the absence of negligence. To minimize the risk of bodily injury, I agree to adhere to all safety rules, ensure my son(s) and/or daughter(s) promptly report any physical problems to appropriate youth club personnel, including directors, coaches, volunteers, or staff, and ensure my child follows all coaching instructions during their athletic participation.

By signing below, I affirm my awareness of the inherent risks of injury associated with athletic events and participation, including the risk of death or serious permanent bodily injury. I acknowledge that my son(s) and/or daughter(s) are participating in these activities voluntarily. I understand and agree to fulfill the obligations outlined in this document as a condition of their participation in these events/athletic sessions.

I certify that my son(s) and/or daughter(s) are in good health and do not have a history of any injury or illness that could jeopardize their safety during athletic activities.

I further understand that participation in athletic activity carries inherent risks, including the possibility of death, permanent paralysis, or permanent bodily injury. I have read the foregoing statements and voluntarily assume full responsibility for the risks associated with my son(s) and/or daughter(s) participating in the athletic events.

I hereby waive any and all liability, including claims of negligence, medical claims, causes of action, and rights to entitlement, suits, or damages against and release Impact City FC, its coaches, employees, volunteers, or representatives, arising from or related to athletic participation in the events/programs.

I also understand and acknowledge that Impact City FC is not obligated to provide financial support for any injuries incurred, and any medical bills resulting from my child's participation in the athletic events/programs are solely my family's responsibility.

To sign below, please type your full name in the space provided. 
Please be advised that by typing your full name below, you are providing a legally binding signature. This indicates your understanding and agreement with the terms outlined above.
*
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Impact City FC. Report Abuse