MCYSA Form: Tournament Listings

MORRIS COUNTY YOUTH SOCCER ASSOCIATION
SUMMER SELECT TEAM TRYOUT
REGISTRATION FORM

To participate in MCYSA Summer Select Team tryouts for Summer 2011,
Parents or Guardians complete and submit this online form.

Please click HERE to print a friendly copy of the registration form, fill-in the blanks, and bring it to the try-out.

Walk-on participants are accepted.

~ PLAYER INFORMATION ~

Player First Name:
Player Last Name:
Street Address:
City, State Zip:	,
Phone:	() -
Player Email:
Player Gender:	Male ~~ Female
Player Date of Birth:
Your position
MCYSA Team Name:
If your Team is not listed above what team do you play for?
Select Team Tryout Age Level (Current team age or age appropriate is permitted):
Should your child be selected for a team this is the size jersey and shorts they will receive.
Uniform Jersey Size

~ PARENT/GUARDIAN INFORMATION ~

Full Name:

Home Phone: () -

Cell Phone: () - (if applicable)

Email:

If no adult email address available, enter "none"

Parental Consent

As the parent / legal guardian listed above, I agree to allow my child to participate in the Morris County Youth Soccer Association Select Team Tryouts and recognize that my checking off of the agree box is a condition of my permitting my child to participate. I certify that my child is in excellent physical health, there are no physical limitations to my child's participation in this program and my child may participate in strenuous and hazardous physical activities. I grant permission for my child to receive emergency medical treatment if needed. I hereby release and discharge MCYSA, evaluators, volunteers and all of their affiliated entities from any and all liability, claims, demands and causes for action for personal injury, property damage and/or other loss suffered by my child in connection with his/her participation in this program. I represent that I am the parent / legal guardian of the minor named above and agree that the grant and releases contained therein binds me and the minor to all of its terms.

Agree ~or~ Disagree

Any Questions or Feedback?

SUBMITTERS INFORMATION
Your Name	Email:

Thank you very much!
~~ or ~~
(Click SUBMIT only Once)

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Full Name:
Home Phone:	() -
Cell Phone:	() - (if applicable)
Email:	If no adult email address available, enter "none"