KC Atletico - 2025 Tryout Registration

KC Atletico Soccer Club Tryouts Registration

KC Atletico Soccer Club

2025-2026 PREMIER TEAM TRYOUTS

**Please check back before tryouts for changes**

KC Atletico Age Groups:

- U12 Girls (2014/2015)

- U12 Boys (2014/2015)

- U14 Girls (2012/2013)

- U14 Boys (2012/2013)

- U16 Girls (2010/2011)

- U17 Girls (2009/2010)

- U18 Girls (2008/2009)

When: Friday June 6, 2025

Time: 4:30 - 6:00pm

Age Groups:

- U12 Girls (2014/2015)

- U12 Boys (2014/2015)

When: Saturday June 7, 2025

Time: 9:00 - 10:30am

Age Groups:

- U16 Girls (2010/2011)

- U17 Girls (2009/2010)

- U18 Girls (2008/2009)

When: Saturday June 7, 2025

Time: 11:00 - 12:30pm

Age Groups:

- U14 Girls (2012/2013)

- U14 Boys (2012/2013)

Location

Sprint (T-Mobile) Campus

6229-6235 Sprint Pkwy, Leawood, KS, 66211

Questions:

Coach Marty 913.575.9228

Coach Blake 913.907.5715

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Players Name: *

Birth Year of Player: *

School: *

Grade Fall of 2023: *

Mother's Name: *

Father's Name: *

Mother's Cell: *

Father's Cell: *

Parent Email: *

What club did you play for last yr? *

What Division: *

Who was your coach last year? *

Preferred Position: *

How did you hear about KCA? *

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INSURANCE AND LIABILITY WAIVER & CONSENT FORM

I understand that I am required to have accidental medical coverage for the child listed on this waiver, and I verify that the information provided on this form is accurate and true.
I understand and agree that if I do not have accidental medical coverage for the child listed on this waiver, I will be financially responsible for all charges and fees incurred in the rendering of said treatment.
I understand that at the discretion of the camp supervisor and staff my child may be
dismissed from the camps without refund for inappropriate behavior.
I understand that at the conclusion of the scheduled camp time the program and staff
are no longer responsible for my child.
I give permission to use, reprint and produce any photographs or videos taken of me or

my child and written materials supplied by me or my child in the form of evaluation

during the youth sports program.
I hereby authorize the Blake Levine Youth Soccer Camp staff to act for me in case an

emergency and waive and release Blake Levine Youth Soccer Camp from any and all liability for any and all injuries and illness occurred while at camp.
By completing registration & typing my name abovce I agree to the terms above.