EmailMe Form - 2019 Individual Player Showcase Registration

Which Clinic Will You Be Attending?

Calgary - Western Canada Soccer Showcase (July 3-5, 2019)

Toronto/Burlington - Eastern Canada Soccer Showcase (June 29-July 1, 2019)

Ottawa - Capital of Canada Showcase (July 24-July 26, 2019)

Name *

First Last

Gender *

Date of Birth *

MM / DD / YYYY

Age Group *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Player Email Address *

Parent Email Address *

Phone Number *

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High School Name *

High School Graduating Year *

GPA (Or what is the percentage average of your grades from grade 9-present) *

SAT Score (if taken)

ACT Score (if taken)

Interested in Playing (Can choose more than one): *

Top 5 Schools That You Are Interested in Attending *

Emergency Contact *

First Last

Emergency Contact Phone Number *

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Club Team *

Coach Name *

First Last

Coach Phone Number *

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Primary Player Position *

Purchase an Evaluation

$99

Purchase Video from the Event (2 11v11 Games)

$65