Tryout Application
Player Name:
Date of Birth (MMDDYY):
Age:
select
7
8
9
10
11
12
13
14
16
17
18
Team Applying For:
select
B01/U10
B97/U4
B96/15
G98/U13
G97/U14
G96/U15
G95/U16
G92/U19
Gender
:
male
female
Grade:
Address:
City:
Zip:
Previous Club or High School Experience:
Parent / Guardian's Name
:
Home Phone (3105555555):
Work Phone (3105555555):
Cell Phone (3105555555):
Email:
Seasons Played:
Seasons_Played
Club
AYSO
Total
Preferred Position(s):
WAIVER OF LIABILITY:
If accepted to participate in the El Segundo Soccer Club Tryouts, you agree to release, indemnify, and hold harmless the El Segundo Soccer Club and coaches/or representatives from any action brought about through claims, lawsuits, or any type of judgments that may arise out of any injury, physical or monetary during the tryout session.