AYSO Gold Tryout Form
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Name of Player Age Previous Team
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Address City/State Zip
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Name of Mother & Father Home Phone # Mobile Phone #
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E-Mail Address
Session 1: TBD
Session 2: TBD
Location: Pecos Park (Near the blue AYSO canopy)
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Player Jersey worn during tryout (describe)
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Height Weight Hair Eyes (this is to identify the player only)
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Player Birth date Player's previous year Soccer Coach
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Player Soccer Experience (list seasons, camps, lessons, and leagues/clubs)
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Player Position (favorite, best, willing to play)
AYSO Gold is a volunteer-run program. Parent(s), please indicate willingness to help the AYSO Gold team in the following capacity (cross-out or remove all that don't apply)
Head Coach
Team Manager
Team Registration
Video
Assistant Coach
Team Treasurer
Team Logistics
Other (specify)
Referee
Team Secretary
Equipment Manager
Other (specify)
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Briefly list parent experience in youth sports (as a parent)
I certify that my child _________________________________is in good health and may participate in all activities related to the AYSO 1046 Tryouts. I am aware that soccer is a physically challenging contact sport in which injuries do occur as a natural part of the game. I agree to hold the AYSO, its agents, contractors harmless from all injuries sustained to my child during participation in the tryouts. I grant permission for my child to receive emergency medical treatment if required.
Print name ______________________ Sign _______________________________ Date ___________
Parents: Please read the AYSO 1046 regional policy regarding registration and refunds at http://www.ayso1046.org then click on About and Regional Guidelines.
Also see other AYSO 1046 Gold info: http://www.ayso1046.org then click on AYSO Gold.
Parent Acknowledgement: (enter initials here)