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First Name:

Last Name:

Age:

Gender: Male Female

Player Information:

Shoe Size:

Desired Number (Should you be chosen):

Contact Info:

Email Address:

Phone Number (xxx-xxx-xxxx) :

Former Player Experience:

Which levels of the game have you played in?
Professional (Europe, Top Division)
Professional (Non-Europe, Top Division)
Professional (Non-Top Division)
Semi-Professional
Amateur
Youth (Club)
Youth (School)
Recreational
No Former Experience

Teams Played For:

Primary Position(s) Played:
Striker
Midfield
Defense
Keeper/Goalie

Did you play on a wing? Yes No

If so, which wing did you play on?
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Right

Select a tryout date: Month: Day: Year:

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