Your Name *

Your Email *

Date of Birth *

High School or College attended *

Grad Year *

Brief soccer background *

Date(s) attending *

Players encouraged to attend both days

Medical issues or injury history that we should know about? *

Waiver *

I understand

This form will serve as a medical / release of liability waiver for participants. Süsserfuss BV and Akorn Indoor Soccer, Inc. are not responsible for any injury, illness, harm, or damage/theft of personal property throughout the duration of tryouts and on the premises. Please check below if you understand and accept the terms of this waiver.

Please verify that you are a human.

Your Name *

Your Email *

Date of Birth *

High School *

Brief soccer background *

Please verify that you are a human.