OPEN
TRYOUTS
Girls U8, U9, U10, U11, U14 & U17
Boys U12, U13 & U16
June 29 - 30
Kaneohe Districk Park
5:00 - 6:45 pm
Phone: (808) 221-2239
E-mail: manuia96744@yahoo.com
Website: manuiasoccerclub.com
_______________________________________________________________________________________________
Click here to download registration form
PLEASE FILL OUT THIS REGISTRATION FORM
AND BRING IT TO
THE FIELD ON JUNE 29 & JUNE 30
TRYOUT REGISTRATION FORM
NAME OF CHILD:_____________________________M/F BIRTHDATE_______________ AGE:_____
ADDRESS:_________________________________________________________________________
CITY:______________________________ STATE:__________________ ZIPCODE:______________
PHONE #:_________________________________ EMAIL:________________________________
PARENT NAME:____________________________ EMERGENCY PHONE #_____________________
INSURANCE AND LIABILITY WAIVER
Liability/Medical Waiver: My son/daughter is in good health and has my permission to participate in this program. In case of medical emergency, I authorize Manuia Soccer Club personnel to seek medical emergency care for my child. I hereby assume all risks and hazards incidental to my child’s participation in these activities, and I do hereby waive, release and absolve the Manuia Soccer Club and participants from any claim arising out of injury to my child. I represent that I am a parent/guardian of the minor named above, and I agree that the grant and release contained therein binds the minor and me to all of its terms.
Parent Signature:___________________________________________
