Nebraska Select - Pre-Registration Form
Player First Name *
Your answer
Player Last Name *
Your answer
Year of Birth *
School - Fall 2019 *
Your answer
Fall 2019 Grade *
Fall Sport *
Player Cell Phone
Your answer
Player Email Address
Your answer
Mother First Name
Your answer
Mother Last Name
Your answer
Father First Name
Your answer
Father Last Name
Your answer
Mother Cell Phone
Your answer
Primary Email Address (where do you want all emails sent) *
Your answer
Father Cell Phone
Your answer
Emergency Contact Person
Your answer
Emergency Contact Cell Phone
Your answer
Medical Issues
Your answer
Please list any conflict dates that you might have. List event and/or date.
Your answer
Acknowledgement
When you accept a position on a Nebraska Select team you are expected to attend all scheduled events, practices and games. It is expected that you will meet all team financial obligations, including but not limited to: uniform fees, tournament fees, league fees and coaching fees. You should also understand that select soccer is a year round commitment. Each player selected for a team is expect to participate in the fall and spring season. A history or decision not to participate in year round play may affect a player's selection to a team. Failure to fulfill any of these requirements are grounds for suspension from or removal from the team.
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