TRYOUTS – April 2019

We will continue trials for the month of April for a few spots remaining on rosters in the grassroots and youth teams.

Youth Divison – U15 & U16 (Soccer)

Mon. April 8th 6:30-8:00pm – Father Micheal Goetz 330 Central Pkwy, Miss

Tues. April 9th 7:30-9:00pm – Invader Sportsplex 6765 Invader Cres, Miss

Fri. April 12th 6:30-8:00pm-Invader Sportsplex 6765 Invader Cres, Miss

Grassroots U8 – U12

U8 (2012 born) Futsal Session

Tues. April 9th 6:30-7:30pm – Metropolitan Andrei 515 Mississauga Valley Blvd., Miss (Futsal)

U11 & U12 (2008/2007 born) Futsal Sessions

Wed. April 10th 6:30-8:00pm – Mississauga SS 550 Courtney Park Dr., Miss

Thurs. April 11th 6:30-8:00pm – Canadian Coptic Church 1275 Eglington Ave West, Miss

U9 & U10 (2009/2010 born) Futsal Session

Wed. April 10th 6:30-8:00pm Cawthra Park SS 1305 Cawthra Rd, Miss

Fri. April 12th 6:30-8:00pm Glenforest SS 3575 Fieldgate Dr., Miss

Athlete Information

First Name:*

Last Name:*

Gender:*

Male

Female

Birth Date:*

Age Division*

Address:*

Street Name

City:*

Province:*

Postal:*

Email:*

Parent/Guardian Information

First Name:*

Last Name:*

Phone Number:*

Email:

Playing Experience

Present Club:

Position played:

Have you played futsal before?*

Yes

If yes, which club:

Highest level played*

If you have played professional soccer/futsal abroad, which club and last year competed

Why do you wish to try out for Futsal Club Toronto

Do you have an Ontario Soccer Association player book or Card?*

Yes

Uniform Size:

Emergency Information:

First Name:

Last Name:

Relationship:

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the athlete prescribed an inhaler? If yes, please explain any instructions.

Informed Consent and Acknowledgement

I hereby give my approval for my participation and/or youths participation in any and all activities prepared by Futsal Club Toronto Inc. and Futbol/Football Club Toronto during the selected camp. In exchange for the acceptance of said participants candidacy by Futsal Club Toronto Inc. and Futbol/Football Club Toronto., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the above mentioned group and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said participant, I hereby waive all claims against Futsal Club Toronto and/or Futbol/Football Club Toronto. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including futsal and indoor soccer. Some of these injuries include, but are not limited to, the risk of strains, sprains, fractures, paralysis, unconsiousness and/or death.

Medical Release and Authorization

As and Adult, Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Futsal Club Toronto and/or Futbol/Football Club Toronto and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

I do acknowledge the above rules & regulations