2018-19 Tryout Registration Form
Please complete the below form for each player to be allowed to participate in a tryout at any time.
Player's First Name *
Please use player's legal name as shown on their birth certificate
Your answer
Player's Middle Name *
Please use player's legal name as shown on their birth certificate
Your answer
Player's Last Name *
Please use player's legal name as shown on their birth certificate
Your answer
Gender *
Site/Level *
Check the box(es) of the level(s) or location(s) of the tryout(s) you plan attend. Select all that apply to your player.
Required
Player's Year of Birth *
Player's Birthday *
Please double check the year, by default it is set to 2018
MM
/
DD
/
YYYY
1st Contact *
First and Last Name of Player's primary contact person
Your answer
1st Email *
This email will be the primary one used for all major communication for this player, including their offer to join a team.
Your answer
1st Phone *
This phone # will be the primary one used for all major communication for this player, including future rosters. It is recommended this be a cell/mobile number. Please use this format: 123-456-7890
Your answer
Current Club
If you currently play for an Eclipse team at any location or level, just submit "Eclipse Select" as your answer.
Your answer
Address *
Player's Address Number and Street
Your answer
City *
Player's Home City
Your answer
State *
Player's Home State
Your answer
Zip *
Player's Home Zip Code
Your answer
2nd Contact
First and Last Name of Player's secondary contact person
Your answer
2nd Email
This email will be the secondary one used for communication for this player.
Your answer
2nd Phone
Add a 2nd number if you want. Please submit at least one cell/mobile number. Please use this format: 123-456-7890
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Eclipse Select Soccer Club. Report Abuse - Terms of Service