Tryout Permission Form (Tryouts)

SAYSO Tryout
Information Form

Dear Parent:

We are glad that your child will be able to spend some time with a SAYSO team. We're looking forward to getting to know him/her.

A "tryout" consists of attending 2-3 regular, two-hour practices in sequence. This gives your child an opportunity to learn any routines, drills, or skills that might be new to him/her. SAYSO prefers to give your child a fair opportunity to show growth and mastery over time, rather than making a quick decision based on a single brief exposure to his/her existing abilities.

A SAYSO Tryout Information Form is required to spend time on the field with a SAYSO team. There are multiple pages (or, two sides) to the form. A signature is required on the last line of the last page. Some parents do not stay to watch during the tryout, so the Tryout Information Form asks for a lot of emergency and medical information. If you stay to watch, or if you feel that these questions are too extensive for a tryout, you may “X” out irrelevant items, or you may write “none” or “n.a.” for “not applicable”. However, please don’t leave anything blank, and your signature is still required.

Please bring the form the first time you come to practice. Give it to the coach of the team you are visiting. You may also mail the form to the SAYSO office (1250 Fifth Avenue, Suite 123, Belmont, CA 94002), if there is time. However, if the form isn’t received by the practice date, you and your child will be able to only watch the practice session.

Please arrive on the field with the following equipment: soccer boots, shin guards, and filled water bottle. For U12 and older teams, running shoes may also be needed. Goalkeepers should bring their own gloves and jerseys. Balls are provided and do not need to be brought.

If you have any questions, call the SAYSO office at (650) 593-5161.

Thank you for your interest in the San Andreas Youth Soccer Organization.

Date of the tryout Your child's shirt color Number on the shirt, if any

We are new to competitive soccer returning to competitive soccer

Player's Gender (M/F)    Player's Age Category: U  View the Age Matrix

Player's Last Name   First Name  MI

Important: The name you provide (which will appear on the player pass) must be EXACTLY the same as the name
appearing on the document used as proof of age (e.g., copy of birth certificate, passport, etc.) since the name on
the player pass is checked against the birth certificate at tournaments. So, please list first names
as "Victoria," not "Vickie; "Samuel," not "Sam," etc.

Home Street Address

Home City   Home State  Home 5-digit Zip Code

Home Phone Area Code   Home Phone

Parents' Home Email    Parents' Work Email

Current Age    Birth Month   Birth Day  Birth Year (e.g., '94')

Player's School    Players Grade

Years Playing Recreational (AYSO, etc.) Soccer

Years Playing Competitive (Club, CYSA, etc.) Soccer

Positions Preferred

Does He/She Play Goalkeeper?

Other Sports Played

Soccer camps and clinics attended:

Month and Year Sponsored by # days

Recruiting restrictions during certain months require SAYSO to ask the following question: 
"Is your child currently registered to play on/with another competitive (e.g., CYSA) team?" (Yes/No/Don't Know) 
 If "Yes", specify District, League, and/or Team

Father's Name  Father's Work Phone

Father's Cell Phone     Father's Pager

Mother's Name  Mother's Work Phone

Mother's Cell Phone     Mother's Pager

In an emergency, when a parent cannot be contacted, the following people should be notified:

       Person 1  Phone  1

       Person 2  Phone 2

Physician's Name

       Work Phone  Home Phone (if known)

Hospital/Medical Insurance Company  Policy Holder's Name

       Policy Number  Hospital/Medical Insurance Phone

         The Hospital/Medical Insurance Phone number is usually printed on the back of your insurance card.

List any allergies the player has. (Enter "None" if none.)

List any medical conditions or prohibitions the player has. (Enter "None" if none.)

Medication taken on a regular basis. (Enter "None" if none.)

Please, briefly (in 1-3 sentences) describe why you believe your child belongs in a SAYSO's program.

Finally, please tell us how you found out about this SAYSO program.

LIABILITY RELEASE - TALENT RELEASE
TRAVEL AUTHORIZATION

MEDICAL TREATMENT AUTHORIZATION FOR A MINOR

1. , a child less than 18 years old and hereafter referred to as "my child", has my permission to participate in tryouts, camps, practices, scrimmages, games, indoor soccer, parties, field trips, and other activities, including travel to and from, hereafter known as “functions”, that may be scheduled from time to time by the San Andreas Youth Soccer Organization (SAYSO).

2. My child is in good health and is able to participate in these functions.

3. On behalf of members of my family, I authorize SAYSO to arrange transportation in buses, trains, and planes and other vehicles and equipment to these functions. My child and family members have my permission to ride in transportation arranged by SAYSO, regardless of whether or not vehicles and equipment are owned and/or operated by commercial transport companies, public utilities, SAYSO, parents, coaches, or other individuals.

4. My child will use protective equipment (e.g., soccer boots, shin guards, eye protection, padded goalkeeper equipment, etc.) or, if my child doesn’t, my child does so at his/her own risk and with my permission. My child may use his/her head to return or redirect soccer balls that come to my child.

5. While my child is participating in these functions, I HEREBY AUTHORIZE THE ADULT COACHING STAFF, or in their absence, any accompanying or assisting adult, TO ADMINISTER ANY EMERGENCY FIRST AID OR MEDICAL ATTENTION “ON THE SPOT,” AND TO CONSENT TO TREATMENTS FOR MY CHILD, including but not limited to, any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment, and hospital care which is advised by, and is to be rendered under the general or special supervision of, any physician, surgeon, or dentist, AND, I AGREE TO PAY FOR SAME. I consider SAYSO's soccer academy program to be a school, and this authorization is given pursuant to the provisions of Sections 6550-6552 of the California Family Code. This authorization shall remain effective indefinitely, until my child no longer plays with SAYSO. A PHOTOCOPY OF THIS SIGNED AUTHORIZATION IS AS VALID AS THE ORIGINAL.

6. I authorize any hospital or provider of medical attention to surrender physical custody of my child to SAYSO upon completion of treatment. This authorization is given pursuant to Section 1283 of the Health and Safety Code of California.

7. I understand that tryouts and some other functions may not be covered by any insurance, and that I AM SOLELY RESPONSIBLE for the cost of any service or treatment provided. After registering with SAYSO, I will be responsible for the cost of any treatment provided which is not covered by insurance.

8. I understand that soccer is a strenuous physical sport, can be dangerous, and there is an inherent risk of injury. I HEREBY RELEASE AND HOLD HARMLESS SAYSO, the team’s regular, guest, and volunteer coaching staff, parental helpers and assistants, team members and their families, referees and other game officials, and the city and school district of the function location from any suits, claims, charges, demands, losses, damages, and expenses incurred from any and all illnesses and injuries incurred, regardless of cause or severity, that may befall my child during functions. I understand that it is not possible to recognize or correct every dangerous condition or physical field hazard or to anticipate every injurious event, and I RELEASE AND HOLD HARMLESS the individuals and organizations listed in this paragraph from those responsibilities. These releases and these authorizations remain valid indefinitely, can only be changed or revoked in writing, and then, only when signed by SAYSO.

9. Any photographs or videos taken of my child by SAYSO may be used for promotional and commercial purposes in printed, audiovisual, or electronic form, including on SAYSO's website.

10. The information I have provided to SAYSO is true, accurate, and complete. No verbal promises of any nature contradicting this agreement and release have been made, can be made, or ever will be made to me. Legal fees and other costs shall be awarded to the prevailing party in arbitrated or legal disputes.

11. I am the parent or legal guardian of my child and am authorized to sign this agreement. I will keep SAYSO informed about any changes in the status of parent/legal guardianship for my child.

Signature:_________________________________Date:________________

You CANNOT email your responses, since your signature is required. Please use your browser's "Print" button to print out this form (with or without your responses) and bring it to the first tryout practice you attend. Thank you.

This page is accessed from many places within SAYSO's website. Please use your browser's "Back" button to return precisely.