El Salvador Female National Team ID Camp

El Salvador Female National Team ID Camp 2022

Visorias para el equipo Nacional de El Salvador Femenino U15/U17/U20/PRO
Participating Location

Virginia 12/03/2022Maryland 12/04/2022
Age Group

U15 (2008/2009)U17 (2006/2007)U20 (2003/2005)National Team Pro (Open)
Participant Name*

First Name / Nombre Last Name / Apellido
Age*
Pitch Position Play*
Posicion que juega en cancha.
Date of Birth*

Month Day Year
Current Competitive Club/Team:*
Club/Academia en que compite actualmente
Which league and division does it compete on?*
En que liga Competitiva y division compite este equipo?
Profile Picture *

Browse Files
Foto del perfil de el jugador Cancelof
Who was born in El Salvador?*

FatherMotherBoth ParentsPlayer
Uniform Size
Highlight Reel:
Mejores jugadas en partidos oficiales

Primary Contact Information
Father's Name*

First Name Last Name
Mobile Phone*

Area Code Phone Number
Home Phone

Area Code Phone Number
E-mail*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mother's Name

First Name Last Name
Mobile Phone

Area Code Phone Number
Home Phone

Area Code Phone Number
E-mail

Liability Information
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.

I HEREBY GIVE MY PERMISSION FOR HIM/HER TO PLAY SOCCER. I AM AWARE OF THE FACT THAT SOCCER IS A PHYSICALLY DEMANDING SPORT IN WHICH INJURIES MAY OCCUR. IN MY OPINION, MY SON/DAUGHTER IS PHYSICALLY ABLE TO PLAY SOCCER. I AFFIRM THAT ALL INFORMATION ABOVE REGARDING MY SON IS COMPLETE AND CORRECT.

Cual quier pregunta porfavor llamar a los numeros:

Virginia: Manassas United: (703) 594-1210

Maryland: Douglas Escobar: (202) 386-4865

email: ManassasUnited@gmail.com
Parent/Guardian Signature*

First Name Last Name
Today's Date*

MonthDay Year
Should be Empty: