Academy Talent ID Centers

1

Please select the players gender* This field is required.

Male

Female

2

Please enter the players date of birth* This field is required.

Date

3

Please enter the players name* This field is required.

First Name

Last Name

4

Name of the person filling out this form* This field is required.

First Name

Last Name

5

Players email addressIf none, please leave blank

example@example.com

6

Best contact email* This field is required.Can be player/parent

example@example.com

7

Best contact phone number* This field is required.

Please enter a valid phone number.

8

Primary position(s) on the field* This field is required.

Main position played

Secondary Position played

9

Name of Current Club* This field is required.

10

Name of Current Team* This field is required.

11

Current Teams Level* This field is required.Please denote the highest level the team currently plays at

12

Youth National Team Experience* This field is required.

YESNO

13

If yes to Youth National Team experience, please select all that apply

Regional Youth National Team ID Center (IDC)

Youth National Team Camp

Youth National Team Competition (International games)

League Talent ID Event/Game (ie. GA Talent ID, ECNL National Selection Game, Best XI, etc)

14

College commitment statusIF NOT U16-U19 SKIP THIS QUESTION

CommittedUn-Committed

15

If committed, please list the name of the schoolIF NOT APPLICABLE SKIP QUESTION

16

Why are you interested in Nationals Academy?* This field is required.

17

Link to highlight videoLeave blank if none