2010-2011 South SCA/Petaluma United Tryout Form (Petaluma)

Sunday, 17, January 2009

Sonoma County Alliance Soccer Club/Petaluma United strives to attract the most motivated soccer players in the North Bay and develop them to their highest level, while emphasizing the qualities of teamwork and sportsmanship.

TO BE COMPLETED BY PLAYER, PARENT OR GUARDIAN
 
 Please type

 in this field to continue:

   (all UPPER case)
Player Name:
Player Birth Date:
Parent/Guardian Name:
Email Address:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone
School:
Last Club/Team:

Please answer the following
Division Trying Out For:
Are you trying out elsewhere?:
If Yes Where?:

CONSENT FOR MEDICAL TREATMENT (MINOR)

As the parent or legal guardian of the above named player, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry.  This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.

Parent/Guardian Approval:
Date Form Submitted:

 
 

SONOMA COUNTY ALLIANCE SOCCER CLUB | P.O. BOX 905 PETALUMA CA 94953