“Winners Are Not Players That Never Fail, But Players Who Never Quit”

Girls 2001 Premier Tryout Request Form

Parent Concents *

PARENT/GUARDIAN CONSENT FORM:I do hereby expressly and specifically assume all of the risks which attend the game of soccer and any other sports or related activities, including but not limited to physical contact and physical injuries. I agree to indemnify and hold harmless Downey FC, its officials, coaches and members including but not limited to any adjoining facilities from any and all claims, suits, or proceedings arising allegedly or in reality out of the acts or omission and participation of the registrant in any and all related activity. I also agree to all rules and regulations of Downey FC. *

CONSENT FOR MEDICAL TREATMENT: As the parent or legal guardian of the registered player, I hereby give consent for emergency medical care prescribed by a duly licensed doctor of medicine or dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb and well being of the player registered above. *

Position trying Out For *

Name of Current Club

Email *

Address

Phone *

Parent or Guardians Name

Gender *

Male

Female

Players First Name *

Last Name *

Age *

Date of Birth *