Game_Results 
El Dorado United Competitive Tryouts Registration


2010/11
Age Matrix

U15 8/1/95  7/31/96
U16 8/1/94  7/31/95
U17 8/1/93  7/31/94
U18 8/1/92  7/31/93
U19     8/1/91  7/31/92
Player Information
First Name:*

Last Name:*  

Address:*
City:* State:*   Zip:*
Birth Date:* ,
Age group will automatically be determined by birth date
    
Group:* Boys    Girls
Field Position(s)
of interest:
Forward    Midfield    Defense    Goalkeeper
  
Current/Last Club Name:*   
Current/Last Team Name:* 
  
Parent Information
First Name:*

Last Name:*  

Email:*
Verify Email *
Phone:*

Cell Phone:  

 
Address:*
  Check here if address is the same as player's information listed above
   Street:
   City: State:   Zip:
      
Emergency Information
Emergency Contact:*
Emergency Phone:*
Doctor to Notify:
Doctor Phone:
    
Parent/Guardian Waiver

In consideration of acceptance of the player, the player, by and through his/her parent or legal guardian, hereby acknowledges and understands that the player will be involved in some intense training and competition and that injuries can and do sometimes occur during competition and other activities of the program. The undersigned, on behalf of themselves and their child or ward, agree to hold harmless El Dorado YSL, its owners, staff, coaches and host institution where the program is conducted from and against injuries incurred by the player. The player and his parents or legal guardian assume full responsibility for any damages or injuries which may occur to the player during the program session. The signer hereby fully releases, waives, and discharges El Dorado YSL, its owners, staff, coaches and host institution from, against all claims, injuries, demands, actions, or causes of action arising out of the players participation in the program session and in the use of the host institution's facility. Also the legal guardian of the player named in this disclaimer is releasing all right to El Dorado YSL to use any photos taken of the player at program for promotions reasons.

I Agree         I Disagree

 

If you have any problems with this form, please contact support@eldoradounited.com


 
© 2010 El Dorado United Soccer Academy :: All Rights Reserved
1107 Investment Boulevard, Suite 145, El Dorado Hills, CA 95762
CLUB HOTLINE: 916-919-3019 :: info@eldoradounited.com

Powered by ePaiges Design Group

support@eldoradounited.com