Player Assessment Request

The 2024-25 NorCal Premier Competitive Tryout window has concluded. However, if a player is still interested in being assessed to be placed on a UC Premier competitive team, please submit this form and someone from our coaching team will reach out with further information.

Note: This form should only be used to request assessment for our competitive program (boys and girls born 2006 through 2017). For players born 2018 through 2021, please check out our available Recreational Programs.

Player Information

Player Name (First, Last) *

Player’s Birthdate *

Gender *

Female
Male

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone *

Position #1 *

Position #2 *

Previous club (if not UCYSL / UC Premier)

Please provide any additional information or comments (include relevant medical conditions)

Parent/guardian information

Parent/guardian name *

Home phone *

Mobile phone *

Parent/guardian email *

Parent/guardian name #2

Home phone #2

Mobile phone #2

Parent/guardian email #2

As the parent/legal guardian of the above-named player, or player age 18 or over by clicking submit I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent. I agree to hold harmless UC Premier and it agents and employees and hereby release them from any liability on account of injuries sustained by the player while participating in any activities. I give consent for the above player to be photographed, videotaped or filmed while participating in any soccer activities and the resulting photos / film to be used by UC Premier and its agents and employees for educational and promotional purposes. I have read and understand the above. I also acknowledge that players will be notified of team selection via the team manager or head coach after the assessment and accept that the decision of UC Premier will be final.

NOTE: You will receive an email confirmation, please print/sign and bring with you to the location indicated by the UC Premier Representative who contacts you.

Enter name for signature *

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