PD1 Futsal '24/'25

Futsal Tryouts Registration
Athlete Name*

First NameLast Name
Birth Year
Athlete Phone Number (High Schooler Only)*
Athlete Email
example@example.com
Parent Name*

First NameLast Name
Parent Phone Number*
Please enter a valid phone number.
Parent Email*
example@example.com
Age Group*
Field Player or Goalkeeper*

Field PlayerGoalkeeperBoth
Athlete Shirt Size*

Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult Extra Large
PD1 INJURY WAIVER AND GENERAL RELEASE FORM

By signing your name below as a participant, and/or parent/legal guardian of a participant in PD1, you acknowledge that participation in the program exposes you to the possibility of personal injury. You, being fully aware that participation in the program exposes you to a possible risk of personal injury, hereby release PD1 and its volunteers, directors, employees, agents, licensees, consultants, independent contractors, and affiliates from any and all liability from property damage, personal injuries, or other claims arising from or in connection with your participation in the program including claims that are known and unknown, foreseen and unforeseen, future or contingent.

You acknowledge that you have read and fully understand the Injury Waiver and General.
PD1 PHOTO RELEASE FORM

PD1 has my permission to use my photograph publically to promote their program. I understand that the images may be used in the print brochure, website, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Date Today*

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Participant Name*
Guardian Signature*

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Futsal Tryouts Registration