2019 QC Strikers tryout registration
Complete this registration for QC Strikers Tryouts.
When: 5:00-6:30pm June 4 + 5 (U11 - U15) / June 11 + 12 (U8 - U10)
Where: Davenport Soccer Complex (8991 N Division St, Davenport, IA 52806)
Cost: $25 per child (bring cash or check to tryouts). This will be credited towards your fees for the upcoming season.
Email address *
PARENT INFORMATION
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone *
Your answer
Home Street Address *
Your answer
City *
Your answer
State *
CHILD INFORMATION
If registering more than one child you will have the option to do so at the end of this section.
Child First Name *
Your answer
Child Last Name *
Your answer
Child Date of Birth *
MM
/
DD
/
YYYY
Child previous soccer team *
Please check all that apply.
Required
Child years of experience *
Do you have more children to register? *
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