• Tidal Wave SC Registration for Seasonal Year 2018-2019
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  • (Tryout registration database is not linked to GotSoccer or other mass databases)
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  • Medical Background and Information & Emergency Contact information
  • Please list any medications including those which are maintenance medications (i.e. Diabetic, Asthma, Seizure Disorder.) The purpose of providing this information is to ensure that medical personnel have details of any medical problems which may interfere with or alter treatment.
  • Recognizing the possibility of physical injury associated with soccer and in consideration for the USSF/US Club Soccer and its affiliates accepting the registration for its soccer programs and activities (the "Programs"), I hereby release, discharge and/or otherwise indemnify the USSF/US Club Soccer and its affiliated organizations and sponsors, their employees and associated personnel, including the owner of fields and facilities utilized for the Programs against any claim by 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 is transportation I hereby authorize. My son/daughter has received a physical examination by a physician and has been found physically capable of participating in the Programs. I hereby give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.
  • Electronic Signature: By typing in your name below you agree that this represents your legal signature and that this electronic signature is valid in all legal situations where a handwritten signature applies and is valid.
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