Information

Player Trial Request

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Player First Name:*

Player Last Name:*

Date of Birth:*

Gender:*

Male

Female

Primary Position (required):*

Prior Club Team (required):*

Prior Coach Name (required):

What league and level of play was the team? (required):*

Goals and aspirations for the player (required):*

Experience of player and additional feedback on player (required):*

How did you hear about the club?:*

Parent First Name:

Parent Last Name:

Email:*

Phone Number:*