Milwaukee Wave Open Tryout Form and Waiver 2014

Milwaukee Wave Open Tryout Form and Waiver 2014 Milwaukee Wave Open Tryout Form and Waiver 2014

06.08.2014 Views

Today’s date: Milwaukee Wave OPEN TRYOUT REGISTRATION FORM (Please print legibly) PLAYER INFORMATION Player’s last name: First: Middle: Is this your legal name? If not, what is your legal name? (Former name): Birth date: Age: ! Yes ! No / / Street address: P.O. Box: Home phone number: ( ) City: State: ZIP code: Alternate phone number: E-Mail: ( ) U.S. Citizen: ! Yes ! No Valid green card: ! Yes ! No Birthplace: Where did you hear about the open tryouts? ! www.milwaukeewave.com ! Newspaper: ! Friend or family ! Other: PLAYING EXPERIENCE Please attach a resume if available Position: Height: Weight: Shirt size: Last club: Coach: May we contact him? Coach’s phone number Coach’s E-mail: ! Yes ! No ( ) Previous experience: TRYOUT FEE PAYMENT All registrations are required to be accompanied with payment of a non-refundable $75 tryout fee. Payment can be made by check, Visa, MasterCard, Discover or American Express. Please do not send cash through the mail – cash will only be accepted when dropped off at the Wave office. ! Master ! ! Amer. Type of payment: ! Check ! Visa ! Cash (at office only) Card Discover Express Account Number: Three-digit security # on back of card: Expiration date on card: / Name on card: IN CASE OF EMERGENCY Name of local friend or relative (not living at same address): Relationship to player: Home phone no.: Alternative phone no.: The above information is true to the best of my knowledge. ( ) ( ) Player signature Completed form can be faxed to (414) 224-9290 or either mailed to or dropped off at the Milwaukee Wave, 510 W. Kilbourn Ave. Suite B Milwaukee, WI 53203 Date

Today’s date:<br />

<strong>Milwaukee</strong> <strong>Wave</strong> OPEN TRYOUT<br />

REGISTRATION FORM<br />

(Please print legibly)<br />

PLAYER INFORMATION<br />

Player’s last name: First: Middle:<br />

Is this your legal name? If not, what is your legal name? (<strong>Form</strong>er name): Birth date: Age:<br />

! Yes ! No / /<br />

Street address: P.O. Box: Home phone number:<br />

( )<br />

City: State: ZIP code: Alternate phone number:<br />

E-Mail: ( )<br />

U.S. Citizen: ! Yes ! No Valid green card: ! Yes ! No Birthplace:<br />

Where did you hear about the open tryouts? ! www.milwaukeewave.com ! Newspaper:<br />

! Friend or family ! Other:<br />

PLAYING EXPERIENCE<br />

Please attach a resume if available<br />

Position: Height: Weight: Shirt size:<br />

Last club: Coach: May we contact him? Coach’s phone number<br />

Coach’s E-mail: ! Yes ! No ( )<br />

Previous experience:<br />

TRYOUT FEE PAYMENT<br />

All registrations are required to be accompanied with payment of a non-refundable $75 tryout fee. Payment can be made by check, Visa, MasterCard,<br />

Discover or American Express. Please do not send cash through the mail – cash will only be accepted when dropped off at the <strong>Wave</strong> office.<br />

! Master ! ! Amer.<br />

Type of payment: ! Check ! Visa<br />

! Cash (at office only)<br />

Card Discover Express<br />

Account Number:<br />

Three-digit security # on back of card:<br />

Expiration date on card: / Name on card:<br />

IN CASE OF EMERGENCY<br />

Name of local friend or relative (not living at same address): Relationship to player: Home phone no.: Alternative phone no.:<br />

The above information is true to the best of my knowledge.<br />

( ) ( )<br />

Player signature<br />

Completed form can be faxed to (414) 224-9290 or either mailed to or dropped off at the <strong>Milwaukee</strong> <strong>Wave</strong>, 510 W. Kilbourn Ave. Suite B<br />

<strong>Milwaukee</strong>, WI 53203<br />

Date


<strong>Milwaukee</strong> <strong>Wave</strong> / Major Arena Soccer League<br />

<strong>Waiver</strong> <strong>and</strong> Release<br />

The undersigned, _______________________________________, for himself <strong>and</strong> their heirs, personal<br />

representative, <strong>and</strong>/or administrators, hereby forever discharges <strong>and</strong> releases the <strong>Milwaukee</strong> <strong>Wave</strong>, Midwest<br />

Orthopedic Sports Complex / Brookfield Indoor Soccer Park, <strong>and</strong> the owner of the aforementioned team <strong>and</strong> their<br />

respective agents, owners, officers, directors, employees, contractors, successors <strong>and</strong>/or assigns from any <strong>and</strong> all<br />

liabilities, claims, dem<strong>and</strong>s, costs expenses, damages, actions or causes of action that the undersigned may incur<br />

or acquire during the course of his participation in, involvement with, or attendance at the preseason soccer<br />

tryouts/workouts, including any claim based on negligence, etc., to be conducted by the <strong>Milwaukee</strong> <strong>Wave</strong>.<br />

This “<strong>Waiver</strong> <strong>and</strong> Release” is given for, <strong>and</strong> in consideration of, the opportunity to participate in MASL<br />

soccer tryouts <strong>and</strong> related events, <strong>and</strong> for other good <strong>and</strong> valuable consideration, the receipt <strong>and</strong> sufficiency of<br />

which is hereby acknowledged. The undersigned acknowledges that he is executing this “<strong>Waiver</strong> <strong>and</strong> Release”<br />

with the underst<strong>and</strong>ing that it in no way constitutes a contract or an offer of employment between the undersigned<br />

<strong>and</strong> the MASL, but is only an opportunity to try out for a roster position on a designated MASL Member Team as<br />

a professional soccer player.<br />

The undersigned warrants that he suffers from no minor or serious physical injury, illness or disability<br />

that would make him especially susceptible to injury or disability in performing any activity contemplated by this<br />

“<strong>Waiver</strong> <strong>and</strong> Release.” The undersigned also warrants that he is physically able to fully participate in the<br />

aforementioned soccer tryout camp <strong>and</strong> that he fully comprehends <strong>and</strong> accepts all of the risks associated with such<br />

participation <strong>and</strong> certifies that he is at least 18 years of age.<br />

** All tryout waivers must be filed with the <strong>Milwaukee</strong> <strong>Wave</strong> on the day the player arrives<br />

<strong>and</strong> participates in any tryout/practice or other preseason event. **<br />

Name of player (please print) Player’s signature Date<br />

Team official (please print) Team official’s signature Date<br />

Player Information:<br />

Player’s current phone number:<br />

Player’s permanent address:<br />

City, State, Zip:<br />

Player’s DOB:<br />

Social Security #: Players E – Mail :

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