Fillable Ayso Matrix Tryouts & Player Information Form printable pdf download

AYSO MATRIX Tryouts &

Player Information Form

AYSO Matrix is dedicated to providing a quality training program for players and

coaches in a skilled arena to enhance future opportunities through soccer.

( PLEASE PRINT )

TRYOUT

B / G U -

PLAYERS NAME

LEAGUE USE ONLY

ADDRESS

CITY

ZIP CODE

PARENTS NAME ( S )

PLAYER’S BIRTHDATE

CELL PHONE ( S )

HOME PHONE

PLAYER’S SIZES: JERSEY, T-SHIRT & SHORT SIZES ( Youth - YS, YM, YL, & Adult - AS, AM, AL, AXL ) , AND SOCKS SIZES ( Youth - Y or Adult - A ) .

JERSEY

T-SHIRT

SHORTS

SOCKS

SOCCER EXPERIENCE

AYSO/REC ( Yrs )

MATRIX ( Yrs )

MATRIX TEAM/REGION

OTHER CLUB ( Yrs )

CLUB NAME

AYSO REGION

OTHER SEASONAL SPORTS

DO YOU PLAY ANOTHER SEASONAL SPORT? YES

IF YES, WHAT SPORT(S)?

(BASEBALL, SOFTBALL, BASKETBALL)

Medical Release Form

EMERGENCY AUTHORIZATION: I, the undersigned parent or legal guardian of the above player, a minor, hereby

authorize the coaches and/or other AYSO Matrix officials to act as my agents in the capacity of activity supervisors and

vehicle drivers, and to consent to medical, surgical or dental examination and/or treatment.

DISCLAIMER, ASSUMPTION OF RISK AND WAIVER: I, the undersigned parent or legal guardian of the above player, a

minor, acknowledge that participation in soccer involves risk of severe, permanent physical injury, and death. For myself, and

on behalf of the above player, we willingly and voluntarily accept and assume all such risk. In consideration of permitting the

voluntary participation of the above-named participant in this skills program, for myself and on behalf of the above player,

I hereby release, discharge and agree to hold harmless AYSO Matrix, its employees, volunteers, officials, sponsors, and other

representatives from any and all claims, demands, costs, expenses, and compensation arising out of or in any way related

to any injury or other damage that may result to said participant while participating in any AYSO Matrix sponsored event,

including any physical or other injury caused by the negligence of any such person while performing his/her duties at any time.

I HAVE READ THE ABOVE EMERGENCY AUTHORIZATION, DISCLAIMER, ASSUMPTION OF RISK, AND WAIVER AND FULLY

UNDERSTAND THE TERMS OF EACH. I UNDERSTAND THAT I AND THE ABOVE PLAYER HAVE GIVEN UP SUBSTANTIAL

RIGHTS BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM AND AGREE TO THESE

TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT FOR MYSELF AND ON BEHALF OF THE ABOVE.

Does your child have any disabilities, injuries, limitations, history of heart or respiratory conditions or other medical conditions?

If so, list here

PARENT/GUARDIAN

DATE

Ayso Matrix Tryouts & Player Information Form

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