Tryout Registration Form 2022-2023
All ages U9-U19, Boys and Girls
See Flyer for more information
Consent / Authorization Information
* Medical Treatment Authorization and Liability Waiver
I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with soccer, and hereby release, discharge, and otherwise indemnify Azzurri SC, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named above as a result of that player’s participation in US Club Soccer programs and/or being transported to or from the same, which transportation I hereby authorize.
* Photo Release
I also hereby authorize Azzurri SC to publish photos of my child on the official Azzurri SC website and/or for any advertisements and newsletters. The photos will be used to aid potential participants to help obtain a visual depiction of the Azzurri SC experience. I stipulate that the photos not be identified in any way with the personal information other than first names. The photos will not be used for any other purpose than stated above. Not all photos will be used, only those deemed most advantageous for the purpose stated above.
* Parental Consent for Child to Participate in Youth Soccer Competition
According to the guidelines issued by the California Department of Public Health on February 19, 2021
(“Guidelines”), youth may begin returning to team soccer competition provided the conditions set forth in the Guidelines are satisfied. One of the conditions required under the Guidelines is that each child’s parent or legal guardian sign an informed consent indicating the parent or legal guardian understands and acknowledges the risks of the youth returning to competition. Execution of this informed consent (“Consent”) satisfies that condition. As stated in the Guidelines, COVID-19 continues to pose a severe risk to communities and requires all people in California follow recommended precautions. In addition, general information regarding COVID-19 and recommended precautions that everyone should take can be found on the CDC website. The Guidelines set forth the specific risks related to COVID-19 that youths face in returning to organizing sporting competition. With consent, you are indicating you have been provided access to the Guidelines and understand the risks to your child, you and your family associated with your child’s return to competitive athletic competition as set forth in the Guidelines. Specifically, you understand that, with your child’s return to soccer practice and competition, there is a risk of contracting Covid-19 and this risk increases when face coverings are not worn and physical distancing is not maintained. Further, this risk increases with
greater exertion levels and when mixing cohorts and groups, particularly when from different
communities. With consent, you also agree to comply with the Guidelines and such other applicable federal, state, local, Club and NorCal Premier Soccer laws, regulations, policies, procedures and guidelines. I have read and understood the Guidelines and have had the opportunity to ask questions of my Club with respect to my child’s return to competition. I understand that my child’s participation is voluntary and that I am free to withdraw my child at any time.