ATHLETIC TRYOUT Registration Form

Naples Athletic Club
Tryout Registration Form

Player Information

Name

Date of Birth

Address

Phone

Parent Information

Name

Mobile Number

Please specify anything we should know about? Any alergies or medical conditions?

Initials

Recognizing the possibility of injury or illness, and in consideration for US Youth Soccer and members of Naples United FC accepting my son/daughter as a player in the soccer programs and activities of US Youth Soccer and its members (the "Programs"), I consent to my son/daughter participating in the Programs. Further, I hereby release, discharge, and otherwise indemnify Naples United FC, its member organizations and sponsors, their employees, associated personnel, and volunteers, including the owner of fields and facilities utilized for the Programs, against any claim by or on behalf of my player son/daughter as a result of my son's/daughter participation in the Programs and/or being transported to or from the Programs. I hereby authorize the transportation of my son/daughter to or from the Programs. My player son/daughter has received a physical examination by a licensed medical doctor and has been found physically capable of participating in the sport of soccer. I have provided written notice, which is submitted in conjunction with this release and attached hereto, setting forth any specific issue, condition, or ailment, in addition to what is specified above, that my child has or that may impact my child's participation in the Programs. I give my consent to have an athletic trainer and/or licensed medical doctor or dentist provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the reasonable cost of any such assistance and/or treatment.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

NAPLES UNITED FC

OFFICIAL TEAM WEBSITE

THE FIRST PROFESSIONAL SOCCER TEAM IN NAPLES, FL

Naples Athletic Club
Tryout Registration Form

Player Information

Parent Information

Naples Athletic Club Tryout Registration Form

Player Information

Parent Information

Naples Athletic Club
Tryout Registration Form