White Rock Renegades & South Surrey/White Rock Thunder 2017 – 2018 Tryout Registration

ONLINE REGISTRATION
Tryout Registration Form
Note: All U12 and U14 (2005) players are evaluated for both Renegades Rep "A" and Thunder Rep "B".

Your information will only be supplied to the team which you are trying out for. If both Renegades and Thunder are indicated, your information will be supplied to both associations.

Choose the team you will be trying out for the 2017-2018 season. *
Player's First Name *
Your answer
Player's Last Name *
Your answer
Players Date of Birth *
MM
/
DD
/
YYYY
Father's Name
Your answer
Mother's Name
Your answer
Home Address *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Primary Email *
Your answer
Alternative Email
Your answer
2017 Association *
Where did you play last year? (include association and team (example - SSWRMSA Thunder 02B)
Your answer
2017 Classification *
What level did you play at last year?
Primary Position *
Secondary Position
Do you have potential conflicting activities? (Soccer, music etc.) *
Describe your potential conflicting activities.
Indicate the date range (season) and time of day that you participate in this conflicting activity.
Your answer
Additional Player Information
Is there anything that you would like the coaches to know about you?
Your answer
Submit
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