New Player Application

Player Personal Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Telephone*

Area CodePhone Number
Alternate Telephone

Area CodePhone Number
E-mail*
Date of Birth (Must be at least 18 years of age)*

MonthDayYear
Height
(approximate)
Weight
(approximate)
Upload a recent Photo

Upload a File
(Optional) Cancelof
Player Experience
Position Desired
Primary
Position Desired
Secondary
NoneHigh SchoolSemi-ProMinor LeagueCollegeArenaProfessional
Please explain

0/500
Please list all Teams and Leagues in which you have played

0/500
List the Month and Year you last played organized football

MonthDayYear
Please list all positions you have played
(Seperate your entries with a comma)
Acknowledgement
Are you willing and able to commit 100% to all games and practices?*
Employment Information
Are you currently employed?*
What is your current occupation?
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please list your current work schedule (Be sure to specify AM or PM when entering your hours)
Monday

FromTo
Tuesday

FromTo
Wednesday

FromTo
Thursday

FromTo
Friday

FromTo
Saturday

FromTo
Sunday

FromTo
Additional Information
List any awards, records, acheivements, etc. that you feel might be relevant

0/250
Additional Comments

0/250
Acknowledgement
I hereby attest that all of the above information is accurate and truthful to the best of my knowledge. I understand that if it is discovered that I willingly entered false or misleading information on this application I can be immediately removed from the team and prohibited from participating as a player of the National City Bears as well as the LCFL Western Conference on a whole.
Electronic Signature*
Waiver of Liability of Injury
I hereby release the National City BEARS and its officers, associates and the LCFL Western Conference from any responsibility or obligation for any injury sustained while playing, practicing, trying out, warming up, traveling, or any other activity related to team functions.
Electronic Signature*
Should be Empty:

Player Personal Information

Player Experience

Acknowledgement

Employment Information

Additional Information

Acknowledgement

Waiver of Liability of Injury