2010 U19G Spring Select Team -- Player and Parent Declaration

We have read all the information at http://www.ventoux.com/spring_u19g.html and understand the time and financial commitments that are required to participate on the Palo Alto AYSO 2010 U19 Girls Spring Select Team. We understand that selection to the team is based on multiple factors listed under "Team Formation" on the web page referred to above and that there is no guarantee of selection to the team.

Player Name (print): ________________________ Signature: _______________________ Date: ___________

Parent Name (print): ________________________ Signature: _______________________ Date: ___________

Parent Email Address (essential): _____________________________ (All communication will be via email except in unusual circumstances.)

Player Email Address (optional): ______________________________

Parent Phone -- Home: _______________________  Mobile: __________________________

Provide responses to all of the items below by checking all of the choices that apply.

Player:
 Parent:
If your daughter has had a recurring or recent injury, describe: _________________________________
____________________________________________________________________________________

Questions or comments: _________________________________________________________________

11/24/09