EmailMe Form - Player Tryout Information

Player's Name *

First Last

City of Residence *

Player's Year of Birth *

Player's Gender *

Female

Male

Positions Played *

Goalkeeper

Defense

Midfield

Forward

Current Club/Team Name *

Player's League and Level of Play *

Parent/Guardian Name *

First Last

Parent/Guardian Phone *

### - ### - ####

Parent/Guardian Email *

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