NY Freedom

Tryout Pre-Registration

* Player's Name
* Age Group
 Preferred Position
 Interested in
* Date of Birth   mm/dd/yy
* Street Address
* City
* State
* Zip
* Phone
* E-mail Address
Medical Information

"I assume all risks in regard to participation in the programs in which I will participate. I release, indemnify and agree to hold harmless New York Freedom, it's directors, officers, coaches, trainers and volunteers from any liability that may arise from participation in the programs organized by New York Freedom. By agreeing to these terms, I attest to the following: that the information entered is correct, and in the event of a medical emergency, I authorize New York Freedom staff to seek emergency medical care for me as deemed necessary. I allow any photos or media taken at New York Freedom events to be used for publicity purposes".

* I agree     Check the box to agree to the Waiver

JAG Physical Therapy Horizon Marriott Edward Garber Parisi Speed SchoolEurosport

NY Freedom 2012