Tryouts - FC Wichita

2025 Player Registration

Player Information

Name

Address

Street Address

City

Country

Phone

Citizenship

Date of Birth

Height

Weight

Player Experience

Do you have professional experience?

Yes No

If yes, when and where?

Are you currently playing in college?

Yes No

If yes, what school are you enrolled at?

Preferred Position #1

Preferred Position #2

Briefly describe your soccer experience

Anything else we should know about you?

Soccer Reference

Name of Soccer Reference

Not required

Reference's Phone

Not required

Reference's Email

Not required

WAIVER OF LIABILITY

PARTICIPANT, OR IF A MINOR, THE PARENT/LEGAL GUARDIAN MUST ACKNOWLEDGE EACH SECTION FOR YOUR CHILD TO PARTICIPATE

Playing Waiver & Release of Liability

I hereby take the following action on behalf of my minor child, myself, my executors, administrators, successors and assigns:

a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind, which, arise, out of or relate to my child’s participation in, or my child’s traveling to and from the soccer event, THE FOLLOWING PERSONS OR ENTITIES: FC Wichita; Wichita Sports LLC; and any sponsors and facilities obtained by the Club; any Players, Coaches, Officers, Directors, Employees, Representatives, or Agents of the above.

b) I AGREE NOT TO SUE nor bring any type of lawsuit against any persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein.

c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.

Please review your order.

After you hit submit, you will be sent to Paypal. You do NOT need a Paypal account to check out. Debit and Credit cards accepted. Registrations are not complete until payment is made. Thank You!

Playing Waiver & Release of Liability

Yes. I hereby acknowledge the section above.

Playing Waiver & Release of Liability

I acknowledge that sports are an extreme test of a person’s physical and mental capacity and carry the potential risk of serious bodily injury and in some cases death. I understand that the participant may be asked to compete in games for, practice for, participate in, and travel to and from soccer events on behalf of the

FC Wichita; Wichita Sports LLC, and I HEREBY ASSUME THE RISK OF PARTICIPATION IN THE SOCCER EVENT.

I understand that prior to myself or my child participating, I will inspect the facilities and equipment to be used and if I believe anything is unsafe, I will immediately advise the coach or supervisor of such condition(s) and may refuse to participate. If I choose to participate after inspecting the facilities, I assume the risks listed above.

Playing Waiver & Release of Liability

Yes. I hereby acknowledge the section above.

MEDICAL RELEASE AND AUTHORIZATIONS

ADULT PARTICIPANT OR PARENT/LEGAL GUARDIAN MUST ACKNOWLEDGE EACH SECTION TO PARTICIPATE

Medical Release and Authorizations

I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or healthcare facility to treat myself or the minor named herein for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to the soccer event. I authorize any such Medical Provider to perform all procedures deemed medically advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor.

Medical Release & Authorizations

Yes. I hereby acknowledge the section above.

Medical Release and Authorizations

I HEREBY AUTHORIZE the FC Wichita; Wichita Sports LLC, to publish photographs taken of myself or said minor, for the use in the Club’s print, online, and video-based marketing materials as well as other company publications.

Medical Release & Authorizations

Yes. I hereby acknowledge the section above.

Medical Release and Authorizations

As the participant, or as the parent and natural guardian or legal guardian. I hereby agree to the foregoing Waiver and Liability Release, Medical Release and Authorizations for and on behalf of the named herein. I hereby bind myself and all other assigns to the terms of the Waiver and Liability Release. I represent that I have legal capacity and authority to act for and on behalf of myself and the minor herein, in the execution of the waiver and Liability Release.

Your Signature

I acknowledge I have read and agree to the above waiver.

Full Name

Sign

Tryout Fee

Payment

Price$40.00

*$40 before February 17th, $50 on February 18th or after.

Payment

Discount

Subtotal

Tax

Total USD