OIPCT (Official Italy Pro-Club Tryouts) Registration Form

REGISTRATION FORM

Email address *

First Name *

Last Name *

Your Email *

Your Cell *

Date of Birth *

YYYY

Mail Address/City/Province/Country *

Primary Position *

Secondary Position (Optional)

Previous Club/Division/League/City/Country *

How did you hear about us? *

What is Your Passport Issuing Country? *

Video Highlights Link (Optional)

Which Service are you interested in? *

Send me a copy of my responses.

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