EOC 2025 Application Form

Eyes On Canada

2025 Application Form
Parent/Guardian Information
Parent/Guardian #1 *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Phone Number
Please enter a valid phone number.
Mobile Cell Number*
Please enter a valid phone number.
Email Address*
example@example.com
Parent/Guardian #2 Contact Information

First NameLast Name
Is your address the same as listed above?

Yes
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Phone Number
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Emergency Contact
Name*

First NameLast Name
Home Phone Number
Please enter a valid phone number.
Mobile Phone Number*
Please enter a valid phone number.
Player Information
Child's Name*

Child's First NameChild's Last Name
Date of birth*
Child's email address (if applicable)
example@example.com
Current Height*
Current Weight*
Instagram handle (@xyz)
Does your child have any health concerns/allergies/diagnoses?*
What teams have/does your child play for? Please includes approximate dates.*
Please list any countries for which your child is a citizen?*
Please list any countries for which your child has a passport?*
What primary position does your child play?*

Center BackRight BackLeft BackCenter Defending MidfieldCenter Attacking MidfieldLeft WingRight WingKeeper
What secondary position does your play?*

Center BackRight BackLeft BackCenter Defending MidfieldCenter Attacking MidfieldLeft WingRight WingKeeper
Any injuries/surgeries in the past 2 years?*
Your child's t-shirt size*
Upload player headshot here*

Cancelof
Upload player highlight reel here*

Cancelof
Make sure your video is no longer than 10 minutes.
Make sure you own the right to use all music & images on the video.
Make sure your video does not containt unappropriate language, images, or sounds.
Our coaches will be reviewing your application and will be in touch to let you know if the player has been accepted or not. If accepted, the registration fee for the 2025 EOC event is $599.
Do You Agree to the Terms Above?*

Yes, I doNo, I don't
Should be Empty:

Eyes On Canada

Parent/Guardian Information

Emergency Contact

Player Information