2008 Tryout Registration Form Please complete ALL information all information submitted will be held confidential Person Filling out this form E-mail Address Player's First Name Player's Last Name Address City Zip Code Home Phone Player's E-mail (optional) Date of Birth (dd/mm/yy) Father's Cell Phone Father's Work Phone Mother's Cell Phone Mother's Work Phone Mother's Date of Birth (dd/mm/yy) choose U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 Age Group choose male female Gender choose Goalkeeper Field Player Preferred Position If U15 or above, enter the name of your High School. choose Yes No possibly Parent interested in serving as team manager? By clicking here, I understand and agree to the following: I hereby give my consent for my child to participate in and tryout for teams sponsored by the Columbus Express Soccer Club (CESC). CESC and all personnel associated with the program shall not be held liable for any injury whatsoever my child may sustain in the activities thereof. I also certify that I know of no physical problems or health conditions of my child which would impair participation in the program. In the event my child is injured, I authorize the coach, assistant coach or his representative to secure first aid and/or services of any legally-qualified physician or hospital and agree to assume all financial obligations connected therewith. Other information that you would like us to know Before clicking below, you may want to print this page for your records