HER City
Share your player and family details to help us follow up about evaluations, program fit, and potential scholarship support.
CHICAGO CITY SC
Travel Soccer Pathway
Player Information
Player's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
*
Current Grade
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Chicago Neighborhood/Community
*
Parent or Guardian
Parent or Guardian Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Text message
Phone call
Email
Soccer Background
Does the player currently play for a team or club?
*
Yes
No
Current team or club name
How many years has the player played soccer?
*
Primary position
*
Please Select
Goalkeeper
Defender
Midfielder
Forward
Not sure yet
What type of soccer experience has she had?
*
Recreational league
School team
Travel/club soccer
Camps or clinics
Informal/pickup soccer
New to soccer
CHICAGO CITY SC PATHWAY
Why is your family interested in the Chicago City SC travel soccer pathway?
*
Would you like information about scholarship or financial assistance opportunities?
*
Yes
No
Prefer to discuss privately
MEDIA NOTICE AND PERMISSION
HER League and its partners may photograph or record pathway activities. Approved photos and videos may be used to share the program’s impact through websites, social media, fundraising, and other marketing materials.
I give permission for my player to be photographed or recorded for HER League and partner marketing.
*
Yes
No
ACKNOWLEDGMENT
I understand that HER City is an interest and pathway form. Submission does not guarantee placement with Chicago City SC or scholarship funding. I authorize HER League to contact me about next steps.
*
Is the player available to attend an evaluation with Chicago City SC?
*
Yes
No
Need more information
Anything else we should know about the player or family?
JOIN THE CHICAGO CITY SC PATHWAY
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