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FC 1974 HS BOYS SUPPLEMENTAL TRYOUTS (U16-U19 AGE GROUPS)
10/19/2024 6:30PM-8:00PM
LIBERTYVILLE TOWNSHIP SOCCER COMPLEX , FIELD #1 -TURF
30080 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048
WWW.GLSA.ORG
IMPORTANT
: PLEASE FILL THIS
MEDICAL WAIVER
AND EMAIL TO ssmileski@yahoo.com OR PRINT OUT AND BRING WITH YOU AT THE DAY OF THE TRYOUTS
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FIRST NAME
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LAST NAME
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DATE OF BIRTH
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MM
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DD
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YYYY
CONTACT EMAIL
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CONTACT PHONE NUMBER
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PREVIOUS CLUB, LEVEL OF PLAY
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PLAYING POSITION(FOR EXAMPLE WINGER)
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HS GRADUATION YEAR
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HIGH SCHOOL NAME
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