Player Interest Form 2019/20 Season
Preliminary form for player interest in CA Rush
Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Nearest Location *
Where did you play previously? *
Please provide Club,Team, or Coach name. Include level of play
Your answer
Parent Name *
Your answer
Phone *
Your answer
Player Shirt Size *
Submit
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