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The
Windy City Pride Soccer Club
Open
Tryout Registration Form
(Print
out and bring to tryouts)
Tryout
Number ______________
Name:____________________________Position:___________Age:________Date
of Birth:____________________
Address:_____________________________________________________________________________________
City:
__________________________ State:______ Zip: ___________________
Phone:______________________
Players/Parents
Email:
__________________________________________________________________________
Mother's
Name:________________________________________ Cell Phone:
_____________________________
Father's
Name: ________________________________________ Cell Phone:
_____________________________
Emergency
Contact:
Name:
________________________ Phone: _______________________ Cell:
___________________________
List
Soccer
Experience:________________________________________________________________________
__________________________________________________________________________________________
Select
your soccer goal(s): ____National Team ____College Bond ____High Level
Club ____High School
____Club
Championships ____Just Participation
How
did you hear about Windy City Pride
SC?______________________________________________________
I
hereby give permission and certify that my child is in good health and
able to participate in all Windy City Pride Club Activities. I release
coaches, staff, and all others associated with the Windy City Pride
Soccer Club of all Liability for any injury or illness incurred by my
child at the Windy City Pride Soccer Club Tryouts. In Case of an
emergency, I give permission for my child to be given emergency
treatment at a local hospital. I further release coaches, staff, and
all others associated with the Windy City Pride Soccer Club of any
illegal recruitment associated with my tryout, and that I have
informed the team that I am currently registered with of my
intentions/actions.
Parents
Signature:_________________________________________________________________________________
Date:_____________________
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WINDY CITY PRIDE
SOCCER CLUB
