Tryout Registration

    Gender*
    BoyGirl

    Player's Name

    First Name*

    Last Name*

    Player's DOB*

    Address*

    City*

    State*

    Zip*


    Guardian #1 Name*

    First Name

    Last Name

    Guardian #1 Phone*


    Guardian #2 Name*

    First Name

    Last Name

    Guardian #2 Phone*

    Player's Soccer Experience*

    Parental/Guardian Release (Signature Required)

    I give permission for my child to participate in tryouts for the ASC. I release, discharge,
    and/or otherwise indemnify the ASC, its affiliated organizations and sponsors, the volunteer
    coaches, workers and associates of the ASC, including the owners of the field and facilities
    utilized for this tryout, against any claims by or on behalf of the registrant’s participation in this tryout
    program.

    Use your mouse or finger to draw your signature below

    Signature of Parent / Guardian*