JUVENTUS STL TRYOUT REGISTRATION 2021

Welcome to Juventus Academy Saint Louis!

We would like to take this opportunity to welcome everyone to the Juventus global family! As we continue to expand the Juventus brand into the Midwest, we are excited to know you are interested in learning more about our academy.

TRYOUTS: SUNDAY, JUNE 13, 2021 (SLYSA) AND

MAKE UP TRYOUTS: MON, 6/14 (GIRLS) AND MAKE UP TRYOUTS: TUES, 6/15 (BOYS) - OLYMPIA

MAKE UP TRYOUTS: MON, 6/21 (BOYS & GIRLS)

MAKE UP TRYOUTS: MON, 6/28 (BOYS & GIRLS)

MAKE UP TRYOUTS: TUES, 7/6 - AND - MON, 7/12 (BOYS & GIRLS)

MAKE UP TRYOUTS: MON, 7/19 (BOYS & GIRLS)

Check in: opens 20 minutes before each session; ALL players are required to check in for contact tracing purposes
Walk-ins are welcome; pre-registration is preferred
TRYOUTS: SLYSA Complex: 3901 Huster Rd St Charles, MO 63301
MAKE UP TRYOUTS: OLYMPIA (indoor turf): 49 Lawrence St St Charles, MO 63301
PLAYERS: wear cleats if the training is outdoor OR flat shoes if the training is indoor: bring a ball and a drink (with their name on it).

PLEASE SEE THE FLYER ABOVE FOR DATES/LOCATIONS/TIMES FOR EACH AGE GROUP

Please do not hesitate to reach out if you have any questions.

Thank you,

Corey Adamson | Club Director
Phone: (314) 484-8711
E-Mail: director@juventusacademystl.com

COVID19

Please check each section below to acknowledge the rules in place for COVID19 and your confirmed agreement that you will follow them.

HEALTH CONFIRMATION *

I confirm that my child has not displayed any symptoms associated with COVID19, including but not limited to, a temperature of 100.4 or higher, a persistent cough, or any indications of not being well and healthy.

I understand that all coaches and trainers will also complete a health check prior to attending each night of training.

CHANGE in HEALTH CONFIRMATION *

I agree that if my child becomes sick, is exposed to someone who has tested positive for COVID19, or are themselves suspected or confirmed to be positive for COVID19, within 10 days of attending a Juventus activity, I will advise Juventus Academy Saint Louis as soon as reasonably possible.

I agree that if my child is supposed to be quarantined I will not bring them to any Juventus activity until they have cleared quarantine.

PLAYER INFORMATION

First Name *

Last Name *

Gender *

Male

Female

Birth Year? *

Date of Birth (mm/dd/yyyy) * +

Current Club/Team *

Playing Experience *

Player's School

Grade 2021-2022 School Year? *

HOW DID YOU HEAR ABOUT US?

CONTACT INFORMATION

Parent's Name *

Relationship *

Cell Phone *

Parent's E-Mail Address *

2nd Contact Name *

Relationship *

Cell Phone *

2nd Contact's E-Mail Address *

LIABILITY WAIVER & RELEASE AGREEMENT

I the undersigned (if applicant/participant is 18 years of age or older) or parent/guardian of the above listed minor applicant/participant acknowledge that I have been advised of the risks involved in my son’s/daughter’s participation in Juventus Academy - Saint Louis and have been made aware that his/her participation may result in injury or harm to my son/daughter and I assume responsibility for any and all such risk to my son/daughter. In the event that my son/daughter may sustain an injury as a result of their participation, I hereby agree to hold harmless Juventus Academy - Saint Louis, Juventus Football Club, Karidis Group International, LLC, SLYSA Complex, Vetta GameTime LLC, Olympia Athletic Centre, LLC, any of it’s directors, officers, coaches, athletic trainers, supervisors, and any other employees or agents there of including those who transport them to/ from tryouts, practices, and games, for any and all such injuries. I hereby give my consent to have an athletic trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide my son/daughter with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I hereby authorize emergency transportation of my son/daughter to a medical treatment facility should an individual listed previously deem warranted. I affirmatively certify that to the best of my knowledge, my son/daughter is in good mental and physical health and capable of participating in this activity. I have read and fully understand the contents of this “hold harmless” agreement and execute same voluntary. If requested by Juventus Academy - Saint Louis staff, I agree to modify his/her activities as directed. I further give my permission for the free use of the participants name and image in broadcast, telecast, or any other media account of any and all event/activities and for the promotional purposes of Juventus Academy - Saint Louis, Juventus Football Club, Karidis Group International, LLC, Vetta GameTime LLC, SLYSA Complex, and Olympia Athletic Centre, LLC.

Liability Waiver & Release Agreement *

I understand and agree to the Liability Waiver & Release Agreement for the TRYOUTS for the 2021-2022 season for Juventus Academy - Saint Louis.

Electronic Signature (please type first & last name) *

Date (mm/dd/yyyy) * +

Signature *

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