Queen City Futsal Academy
'26 -'27 Tryout Registration Form
Player's Name
*
First Name
Last Name
Parent/Guardian's Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Player's Date of Birth
*
Player's Grade for '26-'27 School Year
*
Player's Gender
*
Please Select
Male
Female
What date(s) is your player able to attend tryouts?
Both August 8th and August 9th
August 8th ONLY
August 9th ONLY
Not Able to Attend Either Date
To the fullest extent permitted under Ohio law, I, on behalf of myself and my child, release and hold harmless Queen City Futsal Academy, its owners, directors, coaches, trainers, volunteers, employees, independent contractors, sponsors, and facility owners from any and all claims, demands, causes of action, damages, losses, or liabilities arising from participation in QCFA activities, except to the extent caused by gross negligence or willful or wanton misconduct where such liability cannot legally be waived.
*
I agree
Submit
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