OIPCT (Official Italy Pro-Club Tryouts) Registration Form

REGISTRATION FORM

Email address *

First Name *

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Last Name *

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Your Email *

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Your Cell *

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Date of Birth *

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Mail Address/City/Province/Country *

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Primary Position *

Secondary Position (Optional)

Previous Club/Division/League/City/Country *

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How did you hear about us? *

What is Your Passport Issuing Country? *

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Video Highlights Link (Optional)

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Which Service are you interested in? *

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