OUR FORMS Health & Safety Form Health & Safety Form Athlete Name * First Name Last Name Athlete Email * Emergency Contact * First Name Last Name Emergency Contact Email * Emergency Contact Phone * Country (###) ### #### Policy Number * Health Insurance Company * Group Number * Health Conditions Medications Assumption of Risk Statement * I understand and agree that the participation of my son/daughter in any camp or sports clinic held under Top Bins Soccer LLC is voluntary. I further understand and agree that Top Bins Soccer LLC is not liable for any injury, damage, or other loss which my son/daughter may cause or incur, or may cause others to incur while participating in any camp or clinic provided under Top Bins Soccer LLC. I have insurance coverage for my son/daughter, and specifically assume responsibility for all risks, injuries, damages, or other losses that my son/daughter might cause or incur while using any equipment and/or facilities at events run by Top Bins Soccer LLC, or while participating in any program, exercise or activity. I understand and agree to the statement above. Signature * Date * MM DD YYYY Thank you! Get Recruited! Form Get Recruited! Form Athlete Name * First Name Last Name Athlete Email * Club Team Name * Club Level * Position(s) * GK Fullback Center Back Holding Mid Attacking Mid Winger Striker Dominant Foot * Playing Accolades Which of the following statements represent you better? * I know I may not play much for a few years, but i want to go d1 if i can. I don't mind playing at a perceived "lower level" if it means I play more and have a good experience. GPA * High School Name * Intended Academic Major in College * Extracurricular(s) Colleges/Universities of Interest Which of the following have you previously attended? * top bins soccer camps & clinics other id camps (i.e. Future500, exact) college/university specific Any feedback? Which of the following areas of the development and/or recruitment process would you like help with most? * Technical & tactical development college recruitment & Advising coach connections & showcase opportunities exposure at camps & clinics Thank you!
