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 lridolfi@slsgsoccer.com or 618-444-7798
Player's First Name *
Your answer
Player's Last Name *
Your answer
Player Date of Birth *
MM
/
DD
/
YYYY
Parent (Guardian) First Name *
Your answer
Parent (Guardian) Last Name *
Your answer
Parent (Guardian) Phone Number *
Your answer
Parent (Guardian) Email Address *
Your answer
Name of School Player Currently Attends *
Your answer
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.
Your answer
Number of Years Playing Select Soccer *
Preferred Position(s) *
Can check multiple if appropriate.
Required
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
Your answer
Do you have an interest in volunteering as *
Can check multiple if appropriate
Required
How did you hear about SLSG? *
Required
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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