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Coastal Rush: New Player Inquiry Form
Thanks for your interest in Coastal Rush. To learn more about future tryouts, please complete the form for each player and our staff will be in touch.

If you currently play for a Coastal Rush Home Club, you do not need to fill out this form. We already have your info and will be sending out internal communication very soon.

Please make sure to put in your current zip code below so we can direct you to the correct home club tryouts based on your location.

By filling out this form you agree to receive future information from Coastal Rush.

-Coastal Rush Staff
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Email *
What is your child's name? *
Male or Female *
What is your players birthday? *
What is Your Name? *
What is your Cell Phone? *
Please enter your number in this format ###-###-####
What is your zip code? *
What position(s) has your child played in the past? Check all that apply. *
Required
What is your current soccer club? *
Please provide any additional details and accolades you would like us to know. *
By finalizing this form, I recognize the possibility of physical and mental injury associated with soccer, and hereby release, discharge, and otherwise indemnify Coastal Rush, and all their sponsors, and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the soccer player named in this form as a result of that player’s participation in soccer programs/events and/or being transported to or from the same, which transportation I hereby authorize. *
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