El Segundo Gunners Soccer Camp

 

Tryout Application

 
Player Name:
Date of Birth:
Gender:
Male   Female
Age:
Address:
City:
Zip:
Parent / Guardian's Name  
Home Phone:
Work Phone: ext.
Cell Phone / Pager:
Email:
Grade
Seasons Played:
Seasons_Played

Club    AYSO   Total

Preferred Position(s):
Please list previous club/high school experience:


WAIVER OF LIABILITY:

If accepted to participate in the El Segundo Soccer Club Tryouts, you agree to release, indemnify, and hold harmless the El Segundo Soccer Club and coaches/or representatives from any action brought about through claims, lawsuits, or any type of judgments that may arise out of any injury, physical or monetary during the tryout session.