2018- 2019 SLSG Illinois Girls Registration Form
This is the Registration Form for the SLSG Illinois Girls Open Trials. All sessions will be held at the SLSG Collinsville Complex located at 1046 McDonough Lake Road, Collinsville, IL 62234. If you have any questions, please contact Laura Ridolfi at
Player's First Name
Player's Last Name
Player Date of Birth
Parent (Guardian) First Name
Parent (Guardian) Last Name
Parent (Guardian) Phone Number
Parent (Guardian) Email Address
Name of School Player Currently Attends
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 she has played for, list na. If she played recreational soccer last year, list recreational.
Number of Years Playing Select Soccer
This will be the first year
More than 3 Years
Can check multiple if appropriate.
Player Dominant Foot
Notes: Please list any dates that your daughter is UNABLE to attend the SLSG Illinois Open Trial sessions.
If your child can make the sessions, please put NA
Do you have an interest in volunteering as
Can check multiple if appropriate
Not at this time
How did you hear about SLSG?
Friends on the team
My child has permission to participate in the SLSG Illinois Girls Open Trial Sessions 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 her participation in the SLSG Illinois Girls Open Trial Sessions.
Additional Questions, Comments, Requests
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