2008-2009 HYSA FUSION TRYOUT SIGN-UP
1. * 2. * 3. * 4. * 5. * 6. * 7. * 8. * 9. * GENDER 10. * 11. * SELECT FUSION TEAM YOUR TRYING OUT FOR 12. * 13. * 14. * 15. * 16. * 17. * 18. * 19. * 20. * As the parent or legal guardian of the above named player; I hereby give consent to emergency medical care prescribed by a duly licensed doctor or medicine or doctor of dentistry.  This care may be given under whatever conditions are necessary to preserve life, limb or well being of any dependent. 

I, the parent, guardian of the registrant, a minor, agree that the registrant and I will abided by the rules of the United States Youth Soccer (USYS) its affiliated organizations and sponsors.  Recognizing the possibility of physical injury associated with soccer and in consideration for USYS accepting the registrant for its soccer programs and activities (hereafter called the Program), I hereby release, discharge and/or otherwise indemnify the USYS, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the Program, against any claims by/on behalf of the registrant as a result of the registrants participation in the Program, and/or being transported to or from the same, which transportation I hereby authorize.

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