Tryout Registration & Evaluation Form

League Age:

Personal Information Participant Name: ____________________________ Age: __________ DOB: ___________ Address: ______________________________________________________________ City: _______________________________ State: _________ Zip Code : _________ Home Phone: ________________________ Mobile Phone: ______________________ Email Address: ___________________________________ In case of emergency, please notify: Name:_____________________________ Phone Number: _______________________ Release and Liability Waiver: In recognition of, and with knowledge of, the fact that engaging in the sport/activity of SOCCER could involve substantial risk of personal injury, I, the undersigned, warrant that I am in good physical condition and hereby agree to assume the risk of any injury I may suffer as a result of my participation in try-outs for Pelham Soccer Club. Therefore, in consideration for being permitted to participate in such try-outs, I hereby release, waive, and forever discharge Pelham Soccer Club, Pelham Parks and Recreation, Coaches and the PSC volunteers from any and every claim, demand or actions of whatever kind, arising from any bodily harm, personal injury or death resulting from any accident which may occur as a result of participation in these try-outs. Further, and to the same extent and scope, I release said parties from any claim whatsoever which may be attributable to the receipt of first aid or other emergency treatment rendered me in connection with my participation in such try-outs. I understand that PSC will not provide any assistance with any medical bill(s) associated with my try-out or participation with a PSC team should I be injured.

Participant’s Name: ___________________________________ Parent Signature : _____________________________________ Date: __________________ Photo/Video Release _____Pelham Soccer Club has my permission to publish my or my child’s photograph in the media to promote the PSC. _____ PSC has my permission to use my or my child’s photograph or video on the PSC website or the PSC Facebook Page.

Parent Signature: ______________________________________ Date: ___________________ OFFICE USE ONLY

Player ratings for each criteria will range from 1 (Developing) to 5 (Advanced), with a score of 3 representing an at-level (Competent) rating for the age group.

Comments:

PSC Tryout Reg & Eval Form.pdf

Phone Number: ... PSC Tryout Reg & Eval Form.pdf. PSC Tryout Reg & Eval Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying PSC Tryout Reg ...

84KB Sizes 3 Downloads 51 Views

Recommend Documents

examen eval 1 eval mateccss i 1314 corregido.pdf
Whoops! There was a problem loading this page. examen eval 1 eval mateccss i 1314 corregido.pdf. examen eval 1 eval mateccss i 1314 corregido.pdf. Open.

TENNIS TRYOUT RUBRIC.pdf
WEAK 2. POOR 3. AVERAGE 4. GOOD 5.EXCELLENT. 2. COACHABILITY: Good listener, willingness to learn, takes constructive criticism. 1. WEAK 2. POOR 3.

r1.tryout.02e.pdf
Page 1 of 1. CAMPS & TRYOUTS. SJHHS GIRLS VOLLEYBALL - 2016 SOUTH COAST LEAGUE CHAMPIONS. SUMMER CAMPS. Camp 1: July 17th - 21st.

EVAL-ADXRS613.pdf
EVAL-ADXRS613 Parts List. Component Value (nF). C1 100. C2 22. C3 100. C4 22. C5 100. C6 100. C7 100. Whoops! There was a problem loading this page.

2017-18 Eval Report - EMDHPCS.pdf
Page 1 of 26. 1. January 29, 2018. The School District of Philadelphia. New Charter School Application. Evaluation Report. New Charter Application for: Eugenio Maria de Hostos Preparatory Charter School. Submitted by: ASPIRA Inc., and Eugenio Maria D

EIA & eval Oxec II.pdf
Page 1 of 1. EIA & eval Oxec II.pdf. EIA & eval Oxec II.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying EIA & eval Oxec II.pdf. Page 1 of 1.

8.2 TRYOUT KE-2 TIU.pdf
Page 1 of 34. TES INTELEGENSI UMUM (TIU). CPNSONLINE INDONESIA. WWW.CPNSONLINE.COM. SINONIM. Soal No. 1 S/d 10. 1. Rabat. a. Tambahan gaji.

View - Kerala PSC
Nov 15, 2014 - Applications must be submitted online through the official website of the Commission after 'ONE TIME REGISTRATION'. Candidates who have.

View - Kerala PSC
Nov 30, 2012 - Lecturer (in the following various Subjects) ... Political Science ... concessions in upper age limits are available subject to the conditions that the.

PSC Aparanamangal.pdf
There was a problem loading this page. Retrying... Whoops! There was a problem loading this page. Retrying... PSC Aparanamangal.pdf. PSC Aparanamangal.

View - Kerala PSC
Nov 15, 2014 - Applications must be submitted online through the official website of the Commission after 'ONE TIME REGISTRATION'. Candidates who have.

psc agri.pdf
Whoops! There was a problem loading this page. Retrying... Page 3 of 4. Whoops! There was a problem loading this page. Retrying... psc agri.pdf. psc agri.pdf.