Pacesetter Soccer Club Tryout Info

Registrations made after 4pm the day of tryouts will not be fully processed. Instead, please fill it out the form below, print it and bring the tryout confirmation page with you to the tryout.

High School Tryout On-Line Registration Form

for youth (U8 through U14) go to Youth Registration form

Player Info

Name:
School:
Grade (Next Fall):
Last Club Team:
Date of Birth:
Player's Cell Phone:
Player's Email Address:
Address:
City:
State:
Zip Code:
Phone:
Father:
Father's Email Address:
Father Work Phone:
Father Cell Phone:
Mother:
Mother's Email Address:
Mother Work Phone:
Mother Cell Phone:
Your soccer goals:	Briefly describe what you wish to accomplish in your soccer career.
Gender:	Male Female
Age Group:	U15 U16 U17 U18
WAIVER OF LIABILITY: I, the parent/guardian for the above child, release, waive, acquit and forever discharge, the Pacesetter Soccer Club, board, employees, coaches, representatives and agents from any and all claims, liabilities, expenses, injuries, damages, and losses, arising out of or from the above child's participation in the Pacesetter tryout which I am registering my child to attend. I further agree to indemnify the Pacesetter Soccer Club, board, employees, coaches, representatives and agents from any and all claims, liabilities, attorney's fees, expenses, injuries, damages, and losses, arising out of or from the above child's participation in the Pacesetter tryout. The Parent/Guardian agrees to the above. Consent for Medical Treatment (Minor): I hearby give my consent to have a coach, athletic trainer, emergency personnel and/or a doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment. The Parent/Guardian agrees to the above. AGREEMENT FOR ELECTRONIC SUBMISSION: I/we (above indicated) hereby acknowledge that I/we have reviewed this form and caused it to be electronically executed with the intent to be bound to the terms contained herein. If desired, make sure to print a copy of this submission form for your records BEFORE pressing the "Submit Registration" button below.