'22-'23 Salvo New Player Information Form

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Please provide some information to help us best place your child in our club.
**This is NOT a registration, this is a form to be completed to request additional program information and must be completed before attending any training sessions.**

Email *

Contact Phone Number *

Parent/ Guardian Name *

Player Name? *

Player Gender *

Female

Male

What is your Child's Birth Year? (YYYY) *

What program are you interested in? *

Community (Recreational inhouse programming)

Performance (Travel, competitive programming)

Unsure

Required

Has the player registered or participated with another club this year? *

Yes

If yes, please list club name:

What location do you prefer? *

Central (West St Paul/Mendota Heights area)

East (Woodbury area)

South (Rosemount/ Apple Valley area)

What seasons are you looking to participate in? *

Fall, Winter and Spring/Summer

Winter and Spring/Summer

Fall Only

Spring/Summer Only

If spots are full in your child's age group, are they willing to play with an older age group? *

Yes

Depends

Soccer Background (Are you new to soccer, Previous level, Club/School, Etc.)

Recognizing the possibility of injury or illness, and in consideration for Salvo Soccer Club accepting my son/daughter as a player in the soccer programs and activities of Salvo Soccer Club and its members (the "Programs"), I consent to my son/daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify Salvo Soccer Club and its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter’s participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs.My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment.I also grant Salvo Soccer Club permission to use photos or videos of me/my child for print and digital marketing purposes. I understand that I will not receive any financial contribution for the use of these images. *

By checking this box, I am confirming that I am the parent/legal guardian of the named child and consent to the waiver above.

Required

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