HS Boys tryouts

    2017-2018 Chicago Wind Soccer Club
    Tryouts Registration Form

    Please provide all information and read waiver of liability

    Form Instructions:

    - Please provide all required information and read & check waiver of liability

    - Please complete one (1) form per child

    - $25 cash - registration fee due for each child at tryout site (Includes T-Shirt)

    - Call us at 224-723-5752 for any questions

    Player's First Name: *

    Player's Last Name: *

    Date of Birth: *

    Age Group Trying Out For: *

    Previous Team:

    Field Position:

    If Goalkeeper:

    Address: *

    City: *

    Zip Code: *

    School name: *

    City of School:

    Home Phone Number: *

    Player Email Address: *

    Player's Cell:

    Mother's Name:

    Mother's Email:

    Mother's Cell:

    Father's Name:

    Father's Cell:

    Father's Email:

    Will Parents be present:

    Emergency Contact:

    Emergency Phone:

    How did you hear about us:

    Medical Insurance Carrier:

    Registration Confirmation Email: *

    TRY-OUT PARTICIPATION WAIVER


    The Player and his/her parents acknowledge that soccer is a contact sport which involves the possible risk of injury.
    In exchange for the opportunity to participate on the Club's teams, the Player and his/her parents hereby release, and waive any liability against, the Chicago Wind SOCCER CLUB, its coaches, trainers, directors, managers, agents or volunteers acting on behalf of the Chicago Wind SOCCER CLUB and its directors, shareholders, officers, agents, and employees, from any and all liability of whatever relating to or in any manner arising out of the Player's participation on the Chicago Wind SOCCER CLUB; the Player's use of including but not limited to (1) the soccer arenas, grandstands, restrooms and concessions stands, (2) any part of the facility which the Player is not authorized to use, and (3) any part of the facility leased to third parties; the Player's use of any field or facility owned, leased, or used by either the Chicago Wind SOCCER CLUB; or the Player's participation in any game, tournament, camp, clinic, practice while a member of the Chicago Wind SOCCER CLUB. The Player and his/her parent or guardian hereby agree to indemnify and hold harmless the Chicago Wind SOCCER CLUB, its coaches, trainers, directors, and managers, and its directors, shareholders, officers, agents and employees, from any suit or legal proceedings, including but not limited to attorneys fees, with respect to the Player's participation on the Club's teams; the use of, any other field or facility used by the Player. This release shall be binding upon my personal representatives, heirs and assigns.

    Check box to accept release *