Marin FC 2018-19 Tryout Registration Form Marin FC 2018-19 Tryout Registration Form You have to be a parent/guardian and/or a least 18 years old to fill out this form All fields marked with an * are required. Please note: Players who were registered with either Marin FC or Central Marin SC for the 2017-18 season are pre-registered for 2018-19 tryouts and do NOT need to fill out this form.Player InformationPlayer Name* First Last Player Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code You will receive a confirmation email at this email address after completing the registration process. If you don't receive an email, please contact our webmaster Carl Blakey at: email@example.comPlayer Email* Enter Email Confirm Email These are the two phone numbers that Marin FC coaches will use to contact you if you are selected for a team.Player Home Phone*Player Cell Phone*Player Date of Birth*Month*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay*12345678910111213141516171819202122232425262728293031Year*2000200120022003200420052006200720082009201020112012Player Age Group*Select ...U8 (birth year 2011)U9 (birth year 2010)U10 (birth year 2009)U11 (birth year 2008)U12 (birth year 2007)U13 (birth year 2006)U14 (birth year 2005)U15 (birth year 2004)U16 (birth year 2003)U17 (birth year 2002)U18 (birth year 2001)U19 (birth year 2000)Player Grade (Current Grade)*12345678HS - FreshmanHS - SophomoreHS - JuniorHS - SeniorPlayer Gender*MaleFemalePlayer Medical Issues* Player Previous Injuries* Player Soccer Experience (years played)*123456789101112131415Most recent previous club (other than Marin FC) where you played competitive soccer.Parent InformationParent 1 Relation*Select...MotherFatherGuardianParent 1 Name* First Last You will receive a confirmation email at this email address after completing the registration process. If you don't receive an email, please contact our webmaster Carl Blakey at: firstname.lastname@example.orgParent 1 Email* Enter Email Confirm Email Parent 1 Phone*Parent 2 RelationSelect...MotherFatherGuardianParent 2 Name First Last You will receive a confirmation email at this email address after completing the registration process. If you don't receive an email, please contact our webmaster Carl Blakey at: email@example.comParent 2 Email Enter Email Confirm Email Financial Aid Process (ENGLISH): Requests for Financial Aid are due by 6:00PM May 31, 2018. An application is considered complete when ALL requested information including income verification and a discounted registration fee deposit made payable to Marin FC has been submitted by the due date. The registration fee deposit is cashed pending approval of the financial aid application. If a player seeking financial aid is added to the team after the initial registration period they must submit their financial aid application within 7 days of joining the team. Limited Financial Aid is available after the initial registration period. Marin FC only offers partial financial assistance to qualifying families and all families are expected to help fundraise for Marin FC and their respective team. For more information about Marin FC financial aid policy and to obtain Financial aid Forms visit www.marinfc.com. Financial Aid Process (SPANISH): La solicitud de ayuda financiera deberán ser entregadas antes de las 6:00PM el 31 de mayo del 2018. Una solicitud solo se considera completa cuando toda la información necesaria, incluyendo la verificación de ingresos y el depósito a nombre de Marin FC, sea presentada antes de la fecha de entrega. El depósito solo será cobrado cuando la ayuda financiera y los términos asociados con la ayuda haya sido ofrecido y aceptado por la familia. Si un jugador que ha solicitado ayuda financiera es aceptado y agregado al equipo después del periodo inicial de registro, entonces debe entregar la solicitud de beca y ayuda financiera en un periodo de 7 días después de unirse al equipo. Tras el periodo inicial de registro hay una cantidad muy limitada de Becas y Ayuda Financiera. Marin FC solo ofrece ayuda financiera parcial a las familias que califiquen; se espera que todas las familias asisten a recaudar fondos para Marin FC y sus equipos respectivos. Por más información de las normas de la ayuda financiera de Marin FC, por favor visite nuestra página web.Financial Aid* I have read the above statement about Marin FC's financial aid process. (Para obtener más información sobre la Becas y Ayuda Financiera de Marin FC por favor vaya a nuestra cita.) Medical Consent & Release: In consideration of Marin FC Alliance (“Marin FC”) accepting the enrollment of the above mentioned player, a minor (“Player”) in its soccer program (the “Program”), the undersigned parents/guardians of the Player, on behalf of themselves, the Player, and their next of kin, heirs, administrators and assigns, does hereby agree to release, waive, discharge and covenant not to sue Marin FC, the U.S. Soccer Federation ,the U.S. Youth Soccer Association, US Club Soccer and their affiliated organizations and sponsors, the owners and operators of the facilities used for tryouts, practices, games, off-site trips and related activities, and each of their respective directors, officers, employees, volunteers, chaperones, agents and representatives (collectively, the “Releasees”) for any loss, claims, liabilities, damages, or causes of action, known or unknown, including the negligence of the Releasees, resulting in personal injury, accidents or illnesses (including death) and property loss arising from Player’s enrollment and participation in the Program. Indemnity The undersigned also agrees to indemnify and hold harmless the Releasees from all claims, expenses, costs, and liabilities (collectively, the “Damages”) arising from the Player’s enrollment or participation in the Program, and to reimburse Marin FC for such Damages, including Damages incurred in actions for indemnity under this agreement. Assumption of Risk Physical activity, by its nature, carries with it certain dangers and risks that cannot be eliminated regardless of the great care taken to prevent or minimize harm. The Program involves activities such as strength training, running and other aerobic activities. Specific risks vary from one activity to another, with risks ranging from (i) minor injuries such as cuts, bruises, muscle strains and sprains, to (ii) major injuries such as broken or fractured bones, concussion or lost teeth, to (iii) catastrophic injuries, such as heart attacks or fractured skull or those that cause disfigurement, loss of mental capacity, loss of sight, speech or hearing, paralysis or death. The undersigned has read the previous paragraph and knows, understands and appreciates the risks inherent in the activities involved in the Program. The undersigned hereby asserts that the Player’s enrollment and participation in the Program is voluntary and that the Player and the Player’s parents/guardians knowingly assume all risks. Medical Consent The undersigned hereby consents to have an athletic trainer, coach, team manager, chaperone, volunteer, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the Player with medical assistance and/or treatment, as appropriate, and agrees to be financially responsible for the cost of such assistance and/or treatment. The undersigned hereby authorizes emergency transportation of the Player to a medical treatment facility should an individual listed in the preceding sentence consider it to be warranted. Electronic Communications The undersigned consents to giving and receiving electronic records and to the use of electronic signatures. This consent applies to information, documents, forms, applications, or other communications made in connection with Marin FC and/or the Program. I REPRESENT THAT I AM THE PARENT/GUARDIAN OF THE PLAYER BEING REGISTERED ON THIS FORM FOR MARIN FC, AND IF THIS RELEASE AND INDEMNITY IS SIGNED BY ONLY ONE PARENT/GUARDIAN, I REPRESENT THAT I HAVE THE AUTHORITY TO SIGN THIS RELEASE AND INDEMNITY ON BEHALF OF BOTH PARENTS/GUARDIANS. I UNDERSTAND AND AGREE, THAT THE ABOVE RELEASE AND INDEMNITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS PERMITTED BY THE LAWS OF THE STATE OF CALIFORNIA AND THAT IF ANY PORTION HEREOF IS HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL CONTINUE IN FULL LEGAL FORCE AND EFFECT. BY CLICKING “SUBMIT” BELOW, I AM REPRESENTING THAT I HAVE READ THE ABOVE RELEASE AND INDEMNITY AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS. Waiver Release Name (must match parent/guardian name completing form)* First Last Parent/Guardian Confirmation* I am the parent/guardian PhoneThis field is for validation purposes and should be left unchanged.