Marin FC Season Tryout Registration Form You have to be a parent/guardian and/or a least 18 years old to fill out this form / Debes ser padre / tutor y / o tener al menos 18 años para completar este formulario All fields marked with an * are required. / Todos los campos marcados con un * son requeridos. Please note: Players who were registered with Marin FC for the 2022-23 season are pre-registered for 2023-24 tryouts and do NOT need to fill out this form. / Tenga en cuenta que los jugadores que se registraron con Marin FC para la temporada 2022-23 están prerregistrados para las pruebas de 2023-24 y NO necesitan completar este formulario.Player Information / Informacion del jugadorPlayer Name / Nombre del Jugador* First / Primera/o Last / Última/o Player Address / Dirección del Jugador* Street / Calle Apt. No. / Número de Apartamento City / Ciudad AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State / Estado Postal Code / Código Postal You will receive a confirmation email at this email address after completing the registration process. If you don't receive an email, please contact our webmaster Carl Blakey at: / Recibirá un correo electrónico de confirmación en esta dirección de correo electrónico después de completar el proceso de registro. Si no recibe un correo electrónico, comuníquese con nuestro webmaster Carl Blakey en:admin@marinfc.comPlayer's Email / Email del Jugador* Enter Email / Ingrese Correo Electrónico Confirm Email / Confirmar Correo Electrónico This is the phone number that Marin FC coaches will use to contact you if needed. / Este es el número de teléfono que los entrenadores de Marin FC usarán para comunicarse con usted si es necesario.Player Cell Phone / Celular del Jugador*Player Date of Birth*Month / Mes*1 - January / Enero2 - February / Febrero3 - March / Marzo4 - April / Abril5 - May / Mayo6 - June / Junio7 - July / Julio8 - August / Agosto9 - September / Septiembre10 - October / Octubre11 - November / Noviembre12 - December / DiciembreDay / Día*12345678910111213141516171819202122232425262728293031Year / Año*200520062007200820092010201120122013201420152016201720182019Player Age Group / Grupo de Edad del Jugador*Select ...U8 (birth year 2016 / Año de nacimiento 2016)U9 (birth year 2015 / Año de nacimiento 2015)U10 (birth year 2014 / Año de nacimiento 2014)U11 (birth year 2013 / Año de nacimiento 2013)U12 (birth year 2012 / Año de nacimiento 2012)U13 (birth year 2011 / Año de nacimiento 2011)U14 (birth year 2010 / Año de nacimiento 2010)U15 (birth year 2009 / Año de nacimiento 2009)U16 (birth year 2008 / Año de nacimiento 2008)U17 (birth year 2007 / Año de nacimiento 2007)U18 (birth year 2006 / Año de nacimiento 2006)U19 (birth year 2005 / Año de nacimiento 2005)Age Group will correspond to the player's birth year unless you are requesting to 'play up' in which case please select the desired age group.Current School / Escuela Actual*Adaline E. Kent Middle SchoolArchie Williams High SchoolBacich Elementary SchoolBahia Vista Elementary SchoolBayside/MLK AcademyBel Aire SchoolBrandeis MarinBranson School, TheBrookside Elementary SchoolCaulbridge SchoolColeman Elementary SchoolCove School, TheDavidson Middle SchoolDeer Park SchoolDel Mar Elementary SchoolEdna Maguire Elementary SchoolFusion Academy MarinGate AcademyGlenwood Elementary SchoolGood Shepherd Lutheran Church SchoolGreenwood SchoolHall Middle SchoolHamilton Meadow Park SchoolHidden Valley Elementary SchoolLagunitas Elementary SchoolLiving Epistle SchoolLoma Verde Elementary SchoolLu Sutton Elementary SchoolLycee FrancaisLynwood Elementary SchoolMadrone High SchoolManor Elementary SchoolMarin AcademyMarin CatholicMarin Christian AcademyMarin Country Day SchoolMarin Horizon SchoolMarin Oaks High SchoolMarin Primary and Middle SchoolMarin Waldorf SchoolMark Day SchoolMill Valley Middle SchoolMiller Creek SchoolMiss Sandie’s SchoolMount Tamalpais SchoolNeil Cummins Elementary SchoolNew Village School, TheNicasio Elementary SchoolNorth Bay Christian AcademyNorth Bridge AcademyNova Education CenterNovato High SchoolOld Mill SchoolOlive Elementary SchoolPark SchoolPleasant Valley Elementary SchoolRancho Elementary SchoolRedwood High SchoolReed Elementary SchoolRoss Elementary SchoolRoss Valley Charter SchoolSaint Felicity Elementary SchoolSaint Hillary Elementary SchoolSaint Isabella SchoolSaint Patrick SchoolSaint Raphael SchoolSaint Vincent’s School for BoysSan Andreas High SchoolSan Domenico SchoolSan Geronimo Elementary SchoolSan Marin High SchoolSan Pedro Elementary SchoolSan Rafael High SchoolSan Ramon Elementary SchoolShort Elementary SchoolSir Francis Drake High SchoolStrawberry Point SchoolSun Valley Elementary SchoolTamalpais High SchoolTamiscal High SchoolTerra Linda High SchoolVallecito Elementary SchoolVenetia Valley SchoolWade Thomas Elementary SchoolWhite Hill Middle SchoolWillow Creek AcademyOther / Not ListedPlayer's Current Grade / Grado actual del jugador*12345678HS - FreshmanHS - SophomoreHS - JuniorHS - SeniorPlayer's Gender / Género del Jugador* Male / Masculino Female / Hembra Player Medical Issues / Problemas Médicos del Jugador*Player Previous Injuries / Lesiones Anteriores del Jugador*With which club were you registered this past season? / ¿En qué club te inscribiste la temporada pasada? Note: If you were registered with Marin FC this past season, you DO NOT need to register for tryouts. / Nota: Si estuvo registrado con el Marin FC la temporada pasada, NO necesita registrarse para las pruebas.Player Soccer Experience (years played) / Experiencia de Jugador de Fútbol (años jugados)*123456789101112131415Please briefly summarize your soccer playing history (optional).Parent Information / Información Para PadresParent 1 Relation / Relación padre 1*Select...Mother / MadreFather / PadreGuardian / Guardián(a)Parent 1 Name / Nombre de la madre/padre 1* First / Primera/o Last / Última/o You will receive a confirmation email at this email address after completing the registration process. If you don't receive an email, please contact us at: / Recibirá un correo electrónico de confirmación en esta dirección de correo electrónico después de completar el proceso de registro. Si no recibe un correo electrónico, contáctenos en: admin@marinfc.comParent 1 Email / Correo Electrónico Principal 1* Enter Email /Ingrese Correo Electrónico Confirm Email / Confirmar Correo Electrónico Parent 1 Phone / Teléfono Para Padres 1*Parent 2 Relation / Relación padre 2Select...Mother / MadreFather / PadreGuardian / Guardián(a)Parent 2 Name / Nombre de la madre/padre 2 First / Primera/o Last / Última/o Parent 2 Email / Correo Electrónico Para Padres 2 Enter Email Confirm Email / Confirmar Correo Electrónico Parent 2 Phone / Teléfono Para Padres 2*Financial Aid Process (ENGLISH): Applications for Financial Aid are due by 6:00PM May 31. An application is considered complete when ALL requested information including income verification has been submitted. For more information about Marin FC's financial aid program and policies and to obtain a Financial Aid Application visit www.marinfc.org/financial-aid/. Financial Aid Process (SPANISH): Las solicitudes de ayuda financiera deben presentarse antes de las 6:00 PM del 31 de mayo. Una solicitud se considera completa cuando TODA la información solicitada, incluida la verificación de ingresos, se ha enviado. Para obtener más información sobre el programa y las políticas de ayuda financiera de Marin FC y para obtener una Solicitud de ayuda financiera, visite www.marinfc.org/financial-aid/Financial Aid / Ayuda Financiera* I have read the above statement about Marin FC's financial aid process. (Para obtener más información sobre la Becas y Ayuda Financiera de Marin FC por favor vaya a nuestra cita.) Medical Consent & Release: In consideration of Marin FC accepting the enrollment of the above registered player, a minor (“Player”) in its soccer program (the “Program”), the undersigned parents/guardians of the Player, on behalf of themselves, the Player, and their next of kin, heirs, administrators and assigns, does hereby agree to release, waive, discharge and covenant not to sue Marin FC, the U.S. Soccer Federation ,the U.S. Youth Soccer Association, US Club Soccer, the Elite Clubs National League and their affiliated organizations and sponsors, the owners and operators of the facilities used for tryouts, practices, games, off-site trips and related activities, and each of their respective directors, officers, employees, volunteers, chaperones, agents and representatives (collectively, the “Releasees”) for any loss, claims, liabilities, damages, or causes of action, known or unknown, including the negligence of the Releasees, resulting in personal injury, accidents or illnesses (including death) and property loss arising from Player’s enrollment and participation in the Program. Indemnity The undersigned also agrees to indemnify and hold harmless the Releasees from all claims, expenses, costs, and liabilities (collectively, the “Damages”) arising from the Player’s enrollment or participation in the Program, and to reimburse Marin FC for such Damages, including Damages incurred in actions for indemnity under this agreement. Assumption of Risk Physical activity, by its nature, carries with it certain dangers and risks that cannot be eliminated regardless of the great care taken to prevent or minimize harm. The Program involves activities such as strength training, running and other aerobic activities. Specific risks vary from one activity to another, with risks ranging from (i) minor injuries such as cuts, bruises, muscle strains and sprains, to (ii) major injuries such as broken or fractured bones, concussion or lost teeth, to (iii) catastrophic injuries, such as heart attacks or fractured skull or those that cause disfigurement, loss of mental capacity, loss of sight, speech or hearing, paralysis or death. The undersigned has read the previous paragraph and knows, understands and appreciates the risks inherent in the activities involved in the Program. The undersigned hereby asserts that the Player’s enrollment and participation in the Program is voluntary and that the Player and the Player’s parents/guardians knowingly assume all risks. Medical Consent The undersigned hereby consents to have an athletic trainer, coach, team manager, chaperone, volunteer, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the Player with medical assistance and/or treatment, as appropriate, and agrees to be financially responsible for the cost of such assistance and/or treatment. The undersigned hereby authorizes emergency transportation of the Player to a medical treatment facility should an individual listed in the preceding sentence consider it to be warranted. Electronic Communications The undersigned consents to giving and receiving electronic records and to the use of electronic signatures. This consent applies to information, documents, forms, applications, or other communications made in connection with Marin FC and/or the Program. I REPRESENT THAT I AM THE PARENT/GUARDIAN OF THE PLAYER BEING REGISTERED ON THIS FORM FOR MARIN FC, AND IF THIS RELEASE AND INDEMNITY IS SIGNED BY ONLY ONE PARENT/GUARDIAN, I REPRESENT THAT I HAVE THE AUTHORITY TO SIGN THIS RELEASE AND INDEMNITY ON BEHALF OF BOTH PARENTS/GUARDIANS. I UNDERSTAND AND AGREE, THAT THE ABOVE RELEASE AND INDEMNITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS PERMITTED BY THE LAWS OF THE STATE OF CALIFORNIA AND THAT IF ANY PORTION HEREOF IS HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL CONTINUE IN FULL LEGAL FORCE AND EFFECT. BY CLICKING “SUBMIT” BELOW, I AM REPRESENTING THAT I HAVE READ THE ABOVE RELEASE AND INDEMNITY AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS. Waiver Release Name (must match parent/guardian name completing form) / Nombre de exención de exención (debe coincidir con el nombre del padre / tutor completando el formulario)* First / Primera/o Last / Última/o Parent/Guardian Confirmation / Confirmación del Padre / Tutor* I am the parent/guardian / Soy la madre/padre / tutor PhoneThis field is for validation purposes and should be left unchanged.