2018-Dec Fullerton Rangers Tryout Registration Form

Fullerton Rangers Youth Soccer Club
Two time National Champions!
Competitive Teams Tryout Registration Form

For Girls and Boys Born on or between
2012-2005
see below for times and days

December 10-13, 2018
Lions Field: 1440 Brea Blvd., Fullerton, CA 92835

If you are registering more than one tryout player there will be
a link after you hit submit to register another tryout player.

If you are currently on a Fullerton Rangers Club team you don't need to register - You are required to attend tryouts

Select One Tryout Time:*

Girls - Birth Years 2012-2009 / Dec 10 & 11 / Mon & Tues / 5:30-6:45Girls - Birth Years 2008-2005 / Dec 10 & 11 / Mon & Tues / 7:00-8:30Boys - Birth Years 2012-2009 / Dec 12 & 13 / Wed & Thur / 5:30-6:45Boys - Birth Years 2008-2005 / Dec 12 & 13 / Wed & Thur / 7:00-8:30

Parent or Guardian Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

City

Street Address

Street Address Line 2

City

Player First Name*

Player Last Name*

Player Birth Date*

MonthDayYear

Player Position*

Field PlayerGoalieField Player & Goalie

Prior Soccer Organization

Liability Waiver Release: I, the parent or guardian of the youth soccer player listed on this form, give my consent for emergency medical care should the need arise. Recognizing the possibility of physical injury associated with soccer, I hereby release, discharge and/or otherwise indemnify Fullerton Rangers, including their coaches, trainers, managers and board members against any claim by or on behalf of the player as a result of the player participation with the Fullerton Rangers 2018 Tryouts.

By clicking 'Submit', I, the parent or guardian of the above-named youth soccer player accept this LIABILITY RELEASE

Signature

Enter the message as it's shown*

Please be at tryouts 15 minutes before they start to check in and receive a wrist band. You can email questions to tryouts@fullertonrangers.com . You will receive an automatic email verifying the information on this form. - Thank you for registering!

December 10-13, 2018Lions Field: 1440 Brea Blvd., Fullerton, CA 92835

If you are registering more than one tryout player there will bea link after you hit submit to register another tryout player.

December 10-13, 2018
Lions Field: 1440 Brea Blvd., Fullerton, CA 92835

If you are registering more than one tryout player there will be
a link after you hit submit to register another tryout player.