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10U Online Player Tryout Form

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

Home Phone:

Email:

Birthdate:

Grade:

* Experience:

* Last team played for:

* Positions:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I give my permission for my child to try out for the Concord Youth Sport's Lady Hawks, a competitive fastpitch softball team. I hereby consent to my child's participation in any activities of the Concord Youth Sport's Lady Hawks, and I agree to release, indemnify, and hold harmless Concord Youth Sports Lady Hawks, and its officers, directors, coaches and agents from and against any liability of any kind arising out of the activities of the Lady Hawks. I understand that I am responsible for providing medical insurance for my child.

The undersigned, the parent(s) or legal guardian(s) of the above-named minor, hereby authorize my child’s coach or any other official of Lady Hawks Softball to consent to any medical examination or treatment, including hospitalization and/or surgery, which is deemed advisable, appropriate or necessary by any duly licensed physician, emergency medical technician, paramedic or other medical practitioner in order to properly care for my child in the event she sustains injury or is suffering from any illness during the course of any playing or non-playing activities of Lady Hawks Softball; provided, however, the foregoing consent or authorization shall be valid only in a situation where a parent or legal guardian of the above-mentioned minor is not reasonably available to provide the necessary consent to medical treatment.

I understand that participation in competitive athletics involves risk of physical injury or death which cannot be totally eliminated. However, players may reduce such risk by following a proper conditioning program, wearing or using helmets and other appropriate safety equipment, and properly reporting any injury to their coaches. In allowing my child to participate in the activities of Lady Hawks Softball, I understand that we are expressly assuming the risks referred to above and releasing Concord Youth Sport's Lady Hawks Softball, its officers, directors, coaches and agents form and against any liability of any kind arising out of the activities of the the Lady Hawks from any and all liability arising out of or in any related to the activities giving rise to such risks.

I understand that player fees must be paid by specified date(s) if a roster spot is offered to and accepted by Player and Parents/Guardians. I also understand that NO REFUNDS of fees will be made once a roster spot is offered to and accepted by Player and Parents/Guardians.

I/we agree with the above *

* indicates required fields

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10U Online Player Tryout Form