AGE

Girls
GROUP

Boys &
U15 Girls
U14 Girls
U13 Girls
U12 Girls
U11 Girls

U16-U19
U15 Boys
U14 Boys
U13 Boys
U12 Boys
U11 Boys

608-334-7764
Kelli Weisinger
and
and
and
and
and
and
DATES

Fri. June 4
Fri. June 4
Fri. June 4
Fri. June 4
Fri. June 4

kjweisinger@gmail.com
Wed., June 2
Wed., June 2
Wed., June 2
Wed., June 2

Wed., June 2

Mon. June 14
Sun., June 13

Reindahl Park
MFC TRYOUT DATES

www.madisonfc.com
RAIN DATE: Sun, June 6: 7:00 – 8:30 pm
RAIN DATE: Sun, June 6: 5:15 – 6:45 pm

2100 Portage Road, Madison WI 53704

MFC Registrar/Tryout Coordinator

RAIN DATE: Sun, June 20: 6:00 – 7:30 pm
TIMES

6:00 – 7:30 pm
7:00 – 8:30 pm
7:00 – 8:30 pm
7:00 – 8:30 pm
5:15 – 6:45 pm
5:15 – 6:45 pm

The well-groomed fields at Reindahl Park are among the best in the

the Arby’s and Office Depot off East Washington Avenue (Hwy 151).
Please note that dogs are NOT permitted in this City of Madison Park.
Madison area. RP is located across from East Towne Mall, just behind
---------------------------- Detach Here: Mail Form and Payment -------------------------
Madison FC 2010-2011 Tryouts  June 2 & 4 (U11 - U15); June 13 & 14 (U16 - U19)
Reindahl Park, 2100 Portage Road, Madison, WI 53704
Mail check (payable to Madison FC) and form to: Madison FC, 5410 Greenleaf Dr, Madison, WI 53713

Check ONE Below:

______ $30 (MUST be received by May 26th) ______ $45 (Received AFTER May 26th)

PLEASE PRINT VERY CLEARLY

Player Name ___________________________________________________________ ___Female ___ Male

Birth Date (MM/DD/YYYY)______________________ Age___________ Grade entering in Fall 2010____________

Address ____________________________________________ City ______________________ Zip ____________

EMERGENCY Phone (s)__________________________________________________________________________

Player’s Current Club/Team ___________________________________________Position(s)__________________

Email**_____________________________________________________________________________________

**Team selections and other important communication sent via email; PLEASE PRINT LEGIBLY!
WAIVER OF LIABILITY: I, the parent/guardian of the individual named above, do hereby agree to indemnify and hold harmless Madison
FC, Inc. and its employees, officers and agents from and against all liability resulting from participation in the soccer tryout activities. I
understand that the program in which I am enrolling, like all activity and sports programs, has some inherent risk, for which I agree to
assume liability. Furthermore, the individual named herein is in good physical health, appropriate for the activities in which he or she will
be participating. I understand that Madison FC, Inc. does not provident accident insurance. In the event of a medical emergency and I
cannot be reached, I authorize Madison FC, Inc. to obtain medical treatment for my son, daughter or legal ward.

Parent/Guardian Name_________________________________________________________________________

Parent/Guardian Signature_________________________________________________Date__________________
"This is not a school sponsored activity and the Madison Metropolitan School District does not approve, support, or endorse this program/activity."
 Madison, WI 53713
5410 Greenleaf Drive
Madison FC
Madison FC
presents

2010-11
Tryout Info
& Registration

_____________________________

_____________________________

_____________________________
U11 – U15 Boys & Girls
Wednesday, June 2 and
Friday, June 4


U16 – U19 Boys & Girls

Sunday, June 13 and
Monday, June 14


Reindahl Park
On Madison’s EAST SIDE