JUVENTUS STL: TOURNAMENT/LEAGUE ROSTER

Welcome to the online tournament, league and training roster form for Olympia / Juventus Academy Saint Louis

FOR EACH EVENT (league/tourament), you will need to complete a separate roster form:

> TEAM ROSTER (below) >>> completed by coach/team contact

FOR EACH SEASON, you will need to have each of your families complete the following

> PLAYER LIABILITY / COVID WAIVER

>>> Please email link to all of the members on your roster; there will also be a link on the website.
>>> Individual Participant Waiver Link: https://fs23.formsite.com/paousa/OLYMPIA_WAIVER/index.html

>>> This form is only required ONCE per season for facility insurance purposes.

Note: Both must be completed in order for your team to participate in any event.

If you have any questions, please contact us at...

JUVENTUS JUNIORS:

JT Thomas - Juventus STL Youth Director

E-Mail: director-youth@juventusacademystl.com

SOCCER/FUTSAL/3v3:

Email: tournaments@juventusacademystl.com

Cell: 636-429-1908

THANK YOU!

- Olympia

- Juventus Academy Saint Louis

TEAM CONTACT INFORMATION

OLYMPIA EVENT *

Futsal Festival 2022

YOUTH Winter Indoor League (turf)

ADULT Indoor League (turf)

Juventus JUNIORS (turf)

TEAM NAME *

TEAM GENDER *

MALE

FEMALE

SPORT: *

FUTSAL

SOCCER

3V3

Juniors Tournament

HEAD COACH NAME *

Coach Cell *

HEAD COACH E-MAIL *

ALTERNATE CONTACT NAME *

Alt Contact Cell *

ALTERNATE CONTACT E-MAIL *

TEAM ROSTER INFORMATION

Jersey # Acknowledgement *

I understand that a jersey # is required for all league and tournament roster entries

PLAYER #1: FIRST NAME

PLAYER #1: LAST NAME

JERSEY #

PLAYER #1: B'DAY (MM/DD/YYYY) +

PLAYER #2: FIRST NAME

PLAYER #2: LAST NAME

JERSEY #

PLAYER #2: B'DAY (MM/DD/YYYY) +

PLAYER #3: FIRST NAME

PLAYER #3: LAST NAME

JERSEY #

PLAYER #3: B'DAY (MM/DD/YYYY) +

PLAYER #4: FIRST NAME

PLAYER #4: LAST NAME

JERSEY #

PLAYER #4: B'DAY (MM/DD/YYYY) +

PLAYER #5: FIRST NAME

PLAYER #5: LAST NAME

JERSEY #

PLAYER #5: B'DAY (MM/DD/YYYY) +

PLAYER #6: FIRST NAME

PLAYER #6: LAST NAME

JERSEY #

PLAYER #6: B'DAY (MM/DD/YYYY) +

PLAYER #7: FIRST NAME

PLAYER #7: LAST NAME

JERSEY #

PLAYER #7: B'DAY (MM/DD/YYYY) +

PLAYER #8: FIRST NAME

PLAYER #8: LAST NAME

JERSEY #

PLAYER #8: B'DAY (MM/DD/YYYY) +

PLAYER #9: FIRST NAME

PLAYER #9: LAST NAME

JERSEY #

PLAYER #9: B'DAY (MM/DD/YYYY) +

PLAYER #10: FIRST NAME

PLAYER #10: LAST NAME

JERSEY #

PLAYER #10: B'DAY (MM/DD/YYYY) +

PLAYER #11: FIRST NAME

PLAYER #11: LAST NAME

JERSEY #

PLAYER #11: B'DAY (MM/DD/YYYY) +

PLAYER #12: FIRST NAME

PLAYER #12: LAST NAME

JERSEY #

PLAYER #12: B'DAY (MM/DD/YYYY) +

PLAYER #13: FIRST NAME

PLAYER #13: LAST NAME

JERSEY #

PLAYER #13: B'DAY (MM/DD/YYYY) +

PLAYER #14: FIRST NAME

PLAYER #14: LAST NAME

JERSEY #

PLAYER #14: B'DAY (MM/DD/YYYY) +

PLAYER #15: FIRST NAME

PLAYER #15: LAST NAME

JERSEY #

PLAYER #15: B'DAY (MM/DD/YYYY) +

PLAYER #16: FIRST NAME

PLAYER #16: LAST NAME

JERSEY #

PLAYER #16: B'DAY (MM/DD/YYYY) +

PLAYER #17: FIRST NAME

PLAYER #17: LAST NAME

JERSEY #

PLAYER #17: B'DAY (MM/DD/YYYY) +

PLAYER #18: FIRST NAME

PLAYER #18: LAST NAME

JERSEY #

PLAYER #18: B'DAY (MM/DD/YYYY)

TEAM ROSTER AGREEMENT

I UNDERSTAND & AGREE; THAT MY SUBMITTED ROSTER IS CORRECT AND ACCURATE WITH ALL OF THE TEAM INFORMATION LISTED ABOVE, REGARDING PLAYER NAMES, AGES, ETC. *

I AGREE

I UNDERSTAND & AGREE; THAT FALSIFYING NAMES AND/OR AGES WILL RESULT IN DISQUALIFICATION AND/OR FORFEITS FROM THE EVENT. *

I AGREE

I UNDERSTAND & AGREE; THAT I WILL SEND THE ONLINE LIABILITY / WAIVER LINK TO ALL MEMBERS LISTED ON MY ROSTER AND WILL ENSURE IT IS COMPLETED BY EVERYONE, BEFORE THE START OF THE EVENT. *

I AGREE

I UNDERSTAND & AGREE THAT THERE WILL BE COVID PROTOCOLS IN PLACE TO PROMOTE PLAYER AND SPECTATOR SAFETY FOR THE EVENT. THESE PROTOCOLS MAY BE ADJUSTED TO REFLECT THE CURRENT RECOMMENDATIONS FROM ST CHARLES AND/OR ST LOUIS COUNTY. I WILL ENSURE MY PLAYERS AND FAMILIES ARE AWARE OF THE PROTOCOLS AND WILL FOLLOW THEM AS OUTLINED. *

I AGREE

I UNDERSTAND & AGREE THAT ROSTERS WILL BE FROZEN AT THE START OF THE FIRST GAME. ONCE FROZEN, NO CHANGES CAN BE MADE TO THE ROSTER. ANY CHANGES THAT NEED TO BE MADE TO THE ROSTER BEFORE THE FIRST GAME WILL REQUIRE A FULL NEW ROSTER TO BE SUBMITTED. If COVID creates an issue where special consideration may be needed for a roster adjustment, please contact the appropriate director. *

I AGREE

SIGNATURE *

clear

FIRST & LAST NAME OF SIGNATURE ABOVE

TODAY'S DATE * +

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