Clone of SCS REIGN FC TRYOUT REGISTRATION FORM

SCS REIGN FC TRAVEL TRYOUT REGISTRATION FORM

PLAYERS NAME*

First NameLast Name

PLAYERS DATE OF BIRTH*

MonthDayYear

GENDER

SCHOOL ATTENDING

AGE GROUP TRYING OUT FOR:*

U8 Jan-July 2019, Aug-Dec 2018 (8/1/2018-7/31/2019)U9 Jan-July 2018, Aug-Dec 2017 (8/1/2017-7/31/2018)U10 Jan-July 2017, Aug-Dec 2016 (8/1/2016-7/31/2017)U11 Jan-July 2016, Aug-Dec 2015 (8/1/2015-7/31/2016)U12 Jan-July 2015, Aug-Dec 2014 (8/1/2014-7/31/2015)U13 Jan-July 2014, Aug-Dec 2013 (8/1/2013-7/31/2014)U14 Jan-July 2013, Aug-Dec 2012 (8/1/2012-7/31/2013)U15 Jan-July 2012, Aug-Dec 2011 (8/1/2011-7/31/2012U16 Jan-July 2011, Aug-Dec 2010 (8/1/2010-7/31/2011)

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN

First NameLast Name

ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

CELL PHONE NUMBER

Area CodePhone Number

PARENT EMAIL

example@example.com

PLAYER EXPERIENCE

NUMBER OF YEARS PLAYED

HIGHEST LEVEL OF PLAY

LAST TEAM/CLUB YOU PLAYED FOR

REFERRED BY: