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Tryout Registration Form
Player's Name*
Player's Cell*
Player's Email*
Birth Date*
School & Grade*
Club & Team Last
Played For*
Current Club Coach
Years Experience Playing Competitive Soccer
Choose Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Position
(check all that apply)
Goalkeeper
Defender
Midfielder
Forward
Other Sports/Activities*
Parent/Guardian Name*
Parent/Guardian Email*
Parent/Guardian Cell*
Home Phone*
Home Address*
City*
State*
Choose State
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Alaska
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California
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Delaware
Florida
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Hawaii
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Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Rhode Island
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip*
Emergency Contact
Name & Number*
How did you hear about Fury Futbol Club?
(check all that apply)*
Website
News Paper
Tryout Flyer
Tryout Poster
Facebook Ad
Radio Ad
Referral From a Fury FC Player
Fury FC Parent
Word of Mouth
Other
My child/ward has my permission to participate in Fury Futbol Club of Illinois’ open tryouts. I hereby certify that my child/ward is in good health and able to participate in all activities. I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims my minor child/ward or I may have (or accrue to my child/ward or me) as a result of participating in this program/activity against Fury Futbol Club of Illinois, including its officials, agents, volunteers and employees. I do hereby fully release and forever discharge Fury Futbol Club of Illinois, the Aurora Sport Zone and the Oswego Park District from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to my minor child/ward or me and arising out of, connected with, or in any associated with this program/activity. In the event of a medical emergency, I grant permission for my child/ward to receive emergency treatment at a local hospital only after reasonable attempts have been made to contact me.
I have read and accept the terms and conditions of the Tryout waiver.
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Fury Futbol Club of Illinois
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