SJEB Rush Futsal Academy Interest Form
Please fill out this form if you would like to play for our Futsal Academy in the 20/21 season.
Tryout dates and times are on our website:
www.sjebrush.org
* You only need to register via this form once *
* Required
First Name
*
Your answer
Last Name
*
Your answer
DOB
MM
/
DD
/
YYYY
Gender
Female
Male
Clear selection
Email 1
*
Your answer
Email 2
Your answer
Cell 1
*
Your answer
Cell 2
Your answer
Current Club
Your answer
Goalkeeper (check box)
Goalkeeper
Submit
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