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Tri-Hamlet Sports Club
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Travel Try-out / Guest Player
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
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17
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19
20
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22
23
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25
26
27
28
29
30
31
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
*
Age as of 4/30 of this year:
Gender:
M
F
*
Uniform Number (3 choices from 1-99):
*
Shirt Size:
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
*
Pants:
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
*
Street:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
PARENT/GUARDIAN
*
Firstname:
*
Lastname:
*
Cell Phone:
Work Phone:
*
Home Phone:
*
EMail:
Do you play for any other travel teams?:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
Relationship to Player:
Please add any information on any existing Medical Conditions to the comments field For example: Asthma, Diabetes, Arrhythmia.
Existing Medical Conditions:
WAIVER INFORMATION
I/We the parent(s) of the above named child do hereby give consent for above named child for participation in the above named league and claim that he/she is in perfect physical condition for this sport. I/We the parent(s) Of the above named child do herby give my/our approval to his/her approval in all league activities during the current season. I/We assume all risks and hazard incidental to such participation including transportation to and from the activities. I/We do hereby release, absolve, indemnify and agree to hold harmless Tri Hamlet Sports Club, Inc., The organizers, sponsors, supervisors, participants, and persons transporting my son/daughter to or from activities for any claim arising out of any injury to my/our son/daughter, except to the extent and in the amount covered by insurance.
I/we agree with the above
*
* indicates required fields
SELECT FEE
$0.00 - Travel Tryouts