1. Please Fill out this form entirely, one form for each child trying out.
2. In the uniform section, any box marked with an asterisk is optional. 
   Do not enter a size for these if you do not wish to purchase this item.
3. Print this form and bring it with you to tryouts

Player Information

First Name Last Name D.O.B. (mm/dd/yyyy)

Mailing Address City State Zip

Home Phone Cell Phone E-Mail Address

Parent's Names Parent's E-Mail Address

Parent's Cell Phone Does parent wish to be a team rep?

School Grade Graduation Year Height (ie. 5'9.5) Position

Level

Uniform Information - These packages are mandatory and are included in your fees.

Regional/National Uniform Package- 2 Jerseys, 2 Spandex, 2 Pr Socks, 1 Practice T-Shirt, Warmups
Training Team- 1 T-Shirt 1 Pr Socks -Included in Fees

Jersey Spandex Practice Shirt Warmup Jacket Warmup Pants

The items below are optional. If you enter a size or quantity, they will be ordered for you and you will be billed for them.

Knee Pads $16* Duffel Bag $31 * Short Sleeve T-Shirt Size $11* Long Sleeve T-Shirt Size $16*

Hoodie Size $20* Extra Socks $7* Short Sleeve T-Shirt Size $11* Long Sleeve T-Shirt Size $16*

Hoodie Size $20* Active Ankles-Size $70* Short Sleeve T-Shirt Size $11* Long Sleeve T-Shirt Size $16*

Hoodie Size $20* Shoes-Size $50*

For administrative use only

Age Level Blue/Red/White .

Tryout Fees Uniform Fees Amount Paid Tryout Check #