U19 Dutch National Team Tryout registration
This form is to register a player for the Oct 26th North American tryouts in Sparks, MD.
What is your name?
Please give an email address for at least one parent.
They will be included on all communication.
Eligibility - I am eligible for this tournament because:
Please check the information package for the exact dates for the age requirement.
I have a Dutch passport and I meet the U19 age requirement
I have a Dutch passport and I meet the U21 age requirement
I have a different country’s passport, but I have (a) Dutch (grand)parent(s) and I meet the U19 age requirement
Eligibility - Date of Birth
Please enter date of birth as YYYY/MM/DD
Attendance - I will be attending the Oct. 26th tryouts in Sparks, MD, USA.
Yes, and I am transferring the USD50 fee to Paypal recipient "
Yes, and please contact me on how to transfer the USD50 fee.
I have questions that need to be answered before I can attend, please contact me.
Player attributes - strong side
I am Lefthanded
I am Righthanded
I am Ambidextrous
Player attributes - position (check all that apply)
LSM - Long Stick Midfielder
Player attributes - Experience, teams and honors: please list your experience, teams you have played for, and any honors you have won.
Player attributes - Height in feet and inches
Player attributes - Weight in pounds
Player attributes - Jersey number preference.
What number would you want to wear on your team jersey if selected? Please note your preference is NOT guaranteed, first come, first serve. Leave blank if no preference.
A copy of your responses will be emailed to the address you provided.
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