Soccer Showcase Game Player Form

2024 WINTER MALE SOCCER SHOWCASE - SUFFOLK

December 20th 2024
Name:*

First NameLast Name
Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Country CodePhone Number
Parent / Guardian's Email*
example@example.com
Parent's Phone Number*

Country CodePhone Number
Please list your playing history with your current club first*
Do you have any medical conditions or injuries we should be aware of?*
Confirm Preferred Playing Position*

GoalkeeperRight BackLeft BackCentre BackRight MidfieldLeft MidfieldCentre MidfieldStriker
Would you like an individual player meeting following the game, where we can provide feedback on your performance and you can answer any questions you may have?*

YesNoUndecided
Any additional information you think we should know:
Should be Empty:

2024 WINTER MALE SOCCER SHOWCASE - SUFFOLK