2024-2025 Tryout Registration Form

PARENT/GUARDIAN INFORMATION

Player's Name*

First NameLast Name

Player's Birth Date*

MonthDayYear

Parent/Guardian*

First NameLast Name

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Contact Phone*

Area CodePhone Number

I would like to tryout for the following age group (birth year) We are in the process of trying to form a girls program with new teams for the Fall of 2024*

Player's soccer experience. We recommend any player coming into our Travel Program to have played organized soccer before. SCPYS also offer an organized Developmental Soccer In-town Program . Please visit SCPYouthsoccer.com for more information*

RecreationTravel

Current or previous program that you played on:

Please check if trying out for goalie

Yes

Where you referred by a current SCPYS player/family?*

YESNO

If you answered yes to the question above, which player / team

Please bring a soccer ball and shinguards to tryouts/practice.

Medical Waiver,Covid Release to Participate and Picture Permission authorization

I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, the United States Soccer Federation, the State Association, the SCP Youth Soccer Program and or Club, the league and tournament, their associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents, estates or executors, from any and all liability incurred in the conduct of, and my participation in, their soccer program(s). This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.

I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature and or intitals/acceptance of this form attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.

For those individuals under the age of eighteen (18) years (minor):As the parent and natural guardian or legal guardian of the participant, I hereby agree to the foregoing Waiver of Liability and Release for, and on behalf of, the participant (player/minor) named above. I hereby bind myself, the minor, and all other assigns to the terms of the Waiver of Liability and Release. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor in the execution of this Waiver of Liability and Release.

I grant to SCP Youth Soccer and its representatives and employees the right to take photographs of me and my Family in connection with the above-identified subject. I authorize SCP Youth Soccer, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that SCP Youth Soccer may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

A CLUB COACH WILL REACH OUT WITH A TRYOUT DATE ONCE REGISTRATION IS COMPLETE. PLEASE BRING SHINGUARDS,CLEATS AND BALL TO TRYOUTS.

I have read and accept the waiver to participate above on behalf of my child*

Yes

2024-2025 SCPYS Travel Player ID Clinic