Nebraska Select Pre-Registration Form
Player First Name *
Player Last Name *
Year of Birth *
School - Fall 2021 *
Fall 2021 Grade *
Fall Sports & Activities *
List Other Activity (from above question)
Player Cell Phone
Player Email Address
Mother First Name
Mother Last Name
Father First Name
Father Last Name
Mother Cell Phone
Primary Email Address (where do you want all emails sent) *
Secondary Email - if needed.
Father Cell Phone
Emergency Contact Person
Emergency Contact Cell Phone
Medical Issues
Please list any conflict dates that you might have. List event and/or date.
Acknowledgement *
When you accept a position on a Nebraska Select team you are expected to attend all scheduled events, practices and games. Out of town players may have different travel requirements, be sure to confirm those if there are any questions. 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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