Eastern Lion SC Expression of Interest 2022 Season
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Team Age if Interest
Please Select
U12s
U13s
U14s
u15s
U16s
U18s
U21s
2021 Club and Team Age
Preferred Position
Please Select
Forward
Defence
Midfield
Goalkeeper
Parent Name
Parent Phone
Please enter a valid phone number.
Parent Email
example@example.com
Comments / Questions
Submit
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