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Pinnacle Sports Free Agent Soccer Player Form (Located in Medina Ohio)
Thank you for filling out this form. We hope to find you a team to play on and will be in contact shortly to see what options we have available.
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First Name
*
Your answer
Last Name
*
Your answer
Are you located within driven distance of Medina, OH? This is where our leagues are located.
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Yes
No
Required
Email Address
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Your answer
Phone Number
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Male
Female
Check the type of soccer you are interested in playing
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Coed
Men's Open
Men's Pick Up Soccer (pay at the door option)
Women's Pick Up Soccer (pay at the door option)
Required
Are you a Goalkeeper?
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Yes
No
Please explain your soccer back ground so we can better place you on a team.
*
Your answer
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