JTAA Jupiter Sting Competitive Soccer

2009-2010 JTAA Juptier Sting Competitive Soccer Team Tryouts

Registration Mandatory.
Deadline for online registration:
May 25, 2009 Ages 5-18

First Name: Middle Initial:
Last Name:
Nickname:
Birth date:
High School Graduation Year:
Gender: Division:
Last season of play:
Choose all levels of play in last season:

Father:
Mother:
Permanent Residence:
City: Zip:
Phone: Cell:
Alternate Phone:
e-mail:
alternate email:
Emergency Contact:
Cell Phone:
Home Phone:
Additional Notes:

If player played travel soccer before, for how many years:
If played travel for club other than Jupiter last year, which club:

Uniform sizes:
Shorts
Jersey

RELEASE OF LIABILITY FOR TRYOUTS
I absolve and agree to hold harmless JTAA Soccer, it’s employees, officers, or agents from any liability which may result from my participation, or that of any minor in my custody during soccer tryouts. If the participant is a minor, I also give my permission for his/her participation in the listed activity, and for any emergency medical treatment required.

PARENT/CUSTODIAN SIGNATURE: Accept Deny
Your signature will be required the first night of tryouts. Please check-in 30 minutes early.

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