2011 U19G 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 2011 U19 Girls 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: ______________________________

Parent Phone -- Home: _______________________  Mobile: __________________________

• can attend twice-a-week practices, January through end of May on (check all that apply):
  Mondays[_] | Tuesdays[_] | Wednesdays[_] | Thursdays[_] | Fridays[_] | Saturdays AM [_]
  List dates/days/times when practice attendance would be a problem: ________________________________
• can play in all Sunday games in Winter League (January 16 - February 27): Yes[_]  No[_]
  List dates/times when game attendance would be a problem: _______________________________________
• can play in all Sunday games in Spring League (March 6 - May 8): Yes[_]  No[_]
  List dates/times when game attendance would be a problem: _______________________________________
• will attend Concord Cup tournament (May 14, 15): Yes[_]  No[_]
• will attend Davis World Cup tournament (May 28, 29, 30): Yes[_]  No[_]
• will be playing on another soccer team during the program period (February - May): Yes[_]  No[_]  Maybe[_]
  Which club/team/league/division?: ___________________________________________________________
  
• will be playing another sport during the program period: Yes[_]  No[_]  Maybe[_]
  Which sport?: _________________________________________
  
• wants to play (If more than one, rank in order of preference: 1 = highest. Circle Left, Center or Right):
  L C R Forward[_] | L C R Midfielder[_] | Stopper[_] | L C R Defender[_] | Sweeper[_] | Goalkeeper[_]
• is able and willing to play other position(s) (If more than one, rank in order of ability: 1 = highest):
  L C R Forward[_] | L C R Midfielder[_] | Stopper[_] | L C R Defender[_] | Sweeper[_] | Goalkeeper[_]
• played which position most frequently during the Fall 2010 season?: L C R  __________________________
  

• will stay overnight at Concord tournament (nights of May 13, 14): Yes[_]  No[_]  Maybe[_]
  
• will stay overnight at Davis tournament (nights of May 27, 28, 29): Yes[_]  No[_]
• would be willing to chaperone an unaccompanied player at a tournament: Yes[_]  No[_]  Maybe[_]
• volunteers for (check all that you would be willing to do; you will be asked to do only one): Referee[_] | Spring League Meeting Volunteer[_] | Field Lining[_] | Goal Nets[_] | Team Treasurer[_] | Snack Coordinator[_] | Laundry Coordinator[_] | Team Photographer[_] | Social Coordinator[_]