Premier AC Travel Try-outs Registration Form
Registration Form for Premier Athletics Club Travel Soccer Try-outs
Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Player Birthdate *
MM
/
DD
/
YYYY
Team trying out for *
Player Email Address
Your answer
Player cell phone number
Your answer
School
Your answer
Grade in Fall 2019
Your answer
Parent/Guardian Name *
Your answer
Phone number *
Your answer
Address *
Your answer
Additional Parent/Guardian Name
Your answer
Phone number
Your answer
Email Address
Your answer
Emergency Contact (Name) *
Your answer
Emergency Contact Phone Number *
Your answer
Relationship to player *
Your answer
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