PRE-REGISTER - REGION 159 EXTRA TRYOUTS

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PRE-REGISTER - REGION 159 EXTRA TRYOUTS - FALL 2023 SEASON

COMPETITIVE SOCCER – PROFESSIONAL TRAINING – PLAYER DEVELOPMENT

POSITIVE COACHING – GOOD SPORTSMANSHIP – EVERYONE PLAYS® – CUSTOM UNIFORMS

Step 1: Pre-register for the tryout by completing the form below. (If you pre-register less than 48 hours before the tryout, you may need to register again at the field.) Click "Submit" once at the end of this form and wait 5 seconds, you will receive a pop up confirmation.

Step 2: Arrive 30 minutes (15 min if you preregistered) before the scheduled tryout.

Step 3: Have the player bring water, wear a white t-shirt and appropriate soccer attire (shin guards, socks, and soccer ball if you have one)

Thank you for considering the Region 159 Extra Program. If you have any questions, please feel free to contact us at bwlorber@gmail.com or c_ingalls@yahoo.com

Email *

Tryout Session #2 Rossmoor Elementary*

It is strongly encouraged that players attend both tryouts for their age group if available. Please locate your child's date/time based on THE YEAR THEY WERE BORN. Location Rossmoor Elementary.

SUNDAY FEBRUARY 27
2014 Girls 12:30pm-1:30pm
2013 Boys 12:30pm-1:30pm

2014 Boys 1:45pm-2:45pm
2012 Girls 1:45pm-2:45pm
2012 Boys 1:45pm-2:45pm

THERE WILL NOT BE A 2nd Tryout for 2011 Boys/Girls & 2010 Boys/Girls due insufficient numbers to make a team.

*See Extra Webpage for more information
http://www.ayso159.org/extra/

Tryout Session #2 Rossmoor Elementary*

Player's First Name *

Player's Last Name *

Player's Date of Birth *

Please Format as: 00/00/0000 or 00-00-0000

Player's Year of Birth & Division *

Please choose appropriate YEAR and Division based on YEAR player was born

2014 GIRLS

2012 GIRLS

2014 BOYS

2013 BOYS

2012 BOYS

Tryout Dates and Location - Please mark your planned attendance at either or both trouts. It is strongly encouraged that players attend both tryout sessions. *

Will be there

Can't make it

Undecided

Sunday, February 27th

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Best Contact Phone Number *

Please Format as: 000-000-0000

Are you (or other parent/guardian of the player) willing to be a volunteer referee? *

Please choose appropriate YEAR and Division based on YEAR player was born

YES

Other:

IMPORTANT WAIVER

I, the parent/guardian of the above mentioned player, a minor, agree that I and the player will abide by the rules of AYSO, and its affiliated organizations and sponsors, specifically the Extra Program and AYSO Section 11.

Recognizing the possibility of physical injury associated with soccer and in consideration of the Extra Program accepting the player for team tryouts, I hereby release, discharge and /or otherwise indemnify the American Youth Soccer Organization, Extra Program, Pacific Soccer Club and their affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities, utilized for the tryouts, against any claim by or on behalf of the player as result of the player’s participation in the tryouts and/or being transported to or from same, which transportation I hereby authorize.

Authorization of Waiver *

Type your Full Legal Name

Today's Date *

YYYY

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms