CFA FUTSAL TRYOUTS

COLORADO FUTSAL ACADEMY – MEN’S TEAM TRYOUT FORM

Player Name*

First NameLast Name

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

PLAYER POSITION

Professional / Semi‑Professional Experience

Have you played professionally before?

YESNO

Professional FutsalSemi‑Pro FutsalInternational ExperienceOther

Are you willing to commit to a full pro‑team training and competition schedule?

YESNO

By submitting the form, I, hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may given under whatever conditions are necessary to preserve the life, limb, or well-being of registrant.

By submitting the form, I agree that I and the registrant will abide by the rules of the COLORADO FUTSAL ACADEMY, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with futsal and in consideration for the CFA, accepting the registrant for its soccer programs and activities (the "Programs"). I hereby release, discharge and/or otherwise indemnify the CFA, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claimby or on behalf of the registrant as a result of the registrant's participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize.

CFA TRYOUT REGISTRATION

PLAYER INFORMATION: