Supplemental Tryout Registration Supplemental Tryout Form Please complete this form to register for FC Storm Supplemental Tryouts. Player Information Player's Name * Player's Name First First Last Last Gender * Male Female Birthdate (Month, Day, Year) * School Attending * Grade * Current Soccer Club, Team and Primary Position Played * Briefly Describe Your Playing Experience Parent/Guardian Contact Information Name * Name First First Last Last Phone * Email * I, (Parent/Guardian), certify that my child is in good physical condition, is fit to participate in the FC Storm supplemental tryout and suffers from no physical impairment that might be aggravated by said participation. I certify that my child is covered by medical insurance, and that I will not hold FC Storm and its parent organization, Loveland Youth Soccer Association, or its representatives responsible for any injuries or harm to my child which occurs during participation in the program. I further agree that FC Storm, its members, coaches or officers shall not be liable for injury or loss which my child or children may sustain while participating in supplemental tryouts and hold harmless FC Storm, its members, coaches, officers, or designates of any kind from claim whatsoever. I further certify the above information is accurate. I also understand that by signing below I am agreeing that this is my child's medical release. Initial Here to Approve Waiver * Review Please review your information. If everything is correct, click on the submit button below. If you are human, leave this field blank. Submit
