Columbia Militia Tryouts

TRYOUT REGISTRATION FORM

Athletes must not turn 8 before May 1st. First grade athletes are accepted.
Player Name*

First NameLast Name
Player Birth Date*

MonthDayYear
Current Grade*
Player Position*

InfieldOutfieldCatcherPitcher
Parent Contact Name*

First NameLast Name
Parent Contact Phone*
Parent Contact E-mail*
example@example.com
Tryouts Attending*

January 17th Time 2:00 PMJanuary 24th Time 2:00 PMJanuary 25th Time 2:00 PM
Comments / Questions:
By signing this, as the parent or legal guardian, I give permission for my child to participate in the tryout offered by COLUMBIA MILITIA INC. I understand that some of these activities are designed to increase the workload on the musculoskeletal system and cardiovascular system and thereby improve the function. There exists the possibility of certain changes or risks occurring during any physical activity. They include muscle soreness, fatigue, abnormal blood pressure, fainting, irregular heart rhythm and in rare instances, heart attack, stroke or death. While these changes in addition to injury are rare, they are possible and cannot be predicted with complete accuracy. As the parent, it is my responsibility to provide any medical information which may affect my child's full participation in the tryout and report any adverse reactions or injury resulting from participation. A physical completed in the last year does not provide any reason why my child should not participate in the tryout activities. If an emergency should occur, I give the COLUMBIA MILITIA staff permission to seek medical attention and provide care. I also understand that if behavior is inappropriate my child may be asked to sit out the session with continued misbehavior being just cause for termination of tryout participation. I have read and understand the above releases the COLUMBIA MILITIA INC from any liability incurred through its tryouts.
BY ENTERING MY NAME BELOW, I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND AND ACCEPT ALL TERMS OF THE FOREGOING STATEMENT.

First NameLast Name
Should be Empty:

TRYOUT REGISTRATION FORM