Registration Checkout – Charleston Fleet

2019 Open Tryout Registration

WHAT: 2019 OPEN TRYOUTS

WHEN: SATURDAY, MAY 5 (10AM-12PM)

WHERE: MUSC HEALTH STADIUM

COMPLETE FORM

2019 Open Tryout Registration

Complete this form to secure your spot in the 2019 Charleston Fleet Open Tryouts!

Player's Name*
First Name Last Name
Requested Position*
Player's Date of Birth*
Player's Age at the time of Tryouts*
Player's Email Address*
Player Cell Phone*
Emergency Contact
First Name Last Name
Emergency Contact Phone
Player Medical Conditions
Medical Waiver*
I agree to conform to the regulations of the Charleston Fleet WPSL Soccer Team. As the parent and/or legal guardian of the above named camper, I hereby authorize the staff of the Charleston Fleet WPSL Soccer Team to act for me according to their best judgment in any emergency requiring medical attention. I assume the risk of accident or injuries from whatever cause in connection therewith, and release the Charleston Fleet WPSL Soccer Team and their officers, agents and employees from any and all liability for any such accident or liability. I HEREBY AUTHORIZE IN ADVANCE ANY NECESSARY MEDICAL TREATMENT REQUIRED BY THE ABOVE NAMED PARTICIPANT WHILE IN ATTENDANCE OF THIS TRYOUT. I ALSO ACKNOWLEDGE THAT I HAVE/WILL NOTIFY THE TRYOUT PERSONNEL OF ANY SPECIAL MEDICAL NEEDS OR INFORMATION REQUIRED BY THE ABOVE NAMED CHILD.
- By checking this box, you consent to treatment and understand the inherent risks associated with soccer.
2018 May Open Tryout Registration*
Total
$0.00
Customer Name*
First Name Last Name
Name of customer purchasing registration.
Customer Email*

Email of customer purchasing registration.
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

2019 Open Tryout Registration

COMPLETE FORM

2019 Open Tryout Registration

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