FC York Tryout Registration Form

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FC York Tryout Registration Form http://www.fcyork.com

Player's Name Player's Birthdate Player's Address City

Zip Code

Home Telephone Cellular Telephone Work or Alternate Phone Email Address Alternate Email Address Father's First Name

Mother's First Name

Any other important player information Grade

School District Years Playing Soccer Last Team Played for

Position

I learned about tryouts from: I am

I am not

Friend

Newspaper

Web Site

a returning FC York Player.

Do you play another sport?

Yes

No

If "yes", will there be a conflict?

Yes

No

Please explain all potential conflicts that the coaching staff should know about Tryout Number Team Age/Gender Group: Under -

Boys

Girls

We the undersigned hereby release and hold harmless FC York, its officers, coaches, trainers and evaluators and other players, any league, EPYSA, and Manchester Township, County of York, Penn State University or other host site in the event of injury to my child during these tryouts and hereby give permission for emergency medical treatment in the event of injury or illness. Parent Signature ______________________________________

Date ____________________________