Interested Player Form

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Parent Name (Nombre de Persona Encargada)

Participant Name (Nombre de Participante)

First

Last

Participant Date of Birth (Fecha de Nacimiento de Participante)

Email (Correo Electronico)

Phone Number (# de telefono)

Describe playing experience of your child. (Describa la experiencia de su jugador)

Current participant's soccer club. (A que club pertenece actualmente el participante?)

Write none if no affiliation to any clubs currently.

Any additional information you would like to share with us? (Algo mas que quisiera compartir con nosotros?)

I agree to terms and conditions (Esto de acuerdo con terminos y condiciones)