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.