Registration for Try Outs

Parent Information
The following information is about the parent or guardian of the player.
Parent/Gaurdian Name *
Parent/Gaurdian Name
Parent Phone *
Parent Phone
Parent Address *
Parent Address
Player Information
The following information is about the player who will be trying out.
Player Name *
Player Name
Player Phone
Player Phone
Player Address
Player Address
Player Birthdate *
Player Birthdate
What clubs has the player been apart of?

By submitting the above form, you provide Release of Liability:

You, the parent/guardian of the registrant, a minor, agree that the registrant and you will abide by the rules of Kalabash Academy, its affiliated organizations and sponsors. Recognizing the possibility of injury associated with soccer and in consideration for Kalabash Academy accepting the registrant for its soccer programs and activities, I hereby release, discharge and/or otherwise indemnify Kalabash Academy, its affiliated organizations and sponsors, their Board of Directors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs, against any claim by or on behalf of the registrant as result of the registrant’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. You give my permission for all medical care deemed necessary by a duly licensed doctor of medicine in my absence, for your dependent.