Tryout — PSV Union FC

Join in a Training!

Find out more about our club, training and teams by joining in a session.

Email
manager@psvunion.org

Phone
(650) 332-9869

Player Name

First Name

Last Name

Player Date of Birth (MM/DD/YYYY)

Gender

Male

Female

Address

City, State, Zip

Parent Name

First Name

Last Name

Parent Email

Parent Phone #

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone #

(###)

###

####

Emergency Contact Relationship To Player

Player Health, Allergy, Medication Information

If you want us to be aware of any allergies or health conditions, please include here.

Please share with us any information you would like to include about your child (e.g. playing experience, level, etc.)

Release of Liability & Waiver

I the Player, or parent/guardian of the minor Player, acknowledge that soccer is an inherently dangerous sport in which the Player participates at his/her own risk. I, for myself and the Player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify(1) U.S. Youth Soccer, its affiliated organizations and its sponsors, (2) the PSV Union Football Club, its officers, directors, coaches, team managers, volunteers, agents, representatives and assigns, (3) the Palo Alto Unified School District and its subdivisions, the City of Palo Alto and all other organizations providing fields for play, including their agents, officers, directors, contractors, employees, representatives and assigns (collectively “Released Parties”), from and against all claims, liabilities, damages or causes of action arising out of or in connection with the Player’s participation in any and all PSV Union Football Club programs. I affirm that the Player is in good physical condition. I understand that the PSV Union Football Club does not carry medical insurance for Players participating in tryouts, practices, friendly scrimmages and other PSV Union Football Club sponsored activities, and that I am responsible for the Player’s insurance coverage until the Player is officially registered as a Player with the California Youth Soccer Association or US Club Soccer.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO THE TERMS, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.