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2019 ACSC Men's Open Tryout Waitlist Registration
1
Full Name
*
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First Name
Last Name
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2
Cell Number
*
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Area Code
Phone Number
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3
E-mail
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4
Date of Birth
*
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Date
Year
Month
Day
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5
Age
*
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6
Highest Level Played
*
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High School
Independent Youth/Adult Club
College/University
Professional
High School
Independent Youth/Adult Club
College/University
Professional
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7
Current Club/College/University
*
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8
Primary Position
*
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LB
RB
CB
LM
RM
Holding M
Attacking M
CM
LW
RW
ST
GK
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9
Secondary Position
*
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LB
RB
CB
LM
RM
Holding M
Attacking M
CM
LW
RW
ST
GK
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10
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