2018-2019 SLSG Illinois Boys Registration Form
This is the Registration Form for SLSG Illinois Boys Open Trials. All sessions are held at SLSG Collinsville Complex located at 1046 McDonough Lake Rd, Collinsville, IL 62234. If you have any questions, please contact Kevin Stoll at kstoll@slsgsoccer.com or 314-435-7669.
Player's First Name *
Your answer
Player's Last Name *
Your answer
Player Date of Birth *
MM
/
DD
/
YYYY
Parent (Guardian) First Name *
Your answer
Parent (Guardian) Last Name *
Your answer
Parent (Guardian) Phone Number *
Your answer
Parent (Guardian) Email Address *
Your answer
Name of School Player Currently Attends *
Your answer
School grade of player on September 1, 2018 *
Currently a Member of St. Louis Scott Gallagher? *
Player's Current Team from 2017/2018 Season *
If this is the players first team he has played for, list na. If he played recreational soccer last year, list recreational.
Your answer
Number of Years Playing Select Soccer *
Select 1
Preferred Position(s) *
Can check multiple if appropriate.
Required
Player Dominant Foot *
Can check multiple if appropriate.
Notes: Please list any dates that your son is unable to attend the SLSG Illinois Open Trial sessions. *
If your child can make the sessions, please put NA
Your answer
Do you have an interest in volunteering as *
Can check multiple if appropriate.
Required
How did you hear about SLSG? *
Can check multiple if appropriate.
Required
My child has permission to participate in the SLSG Illinois Boys Open Trials at the SLSG Collinsville Facility in Collinsville, IL. I voluntarily and knowingly agree to release St. Louis Scott Gallagher Soccer Club LLC and its coaches, staff and players from any liabilities, damages or injuries. I hereby give my permission for my child to be medically treated for injuries or illness during his participation in the SLSG Illinois Boys Open Trials. *
Additional Questions, Comments, Requests
Your answer
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