Men's U19 Sign-up Sheet
NOTE: The player must be a US Citizen (or Native American with Status Card) born 1/1/2000 to 5/6/2004.
Email address *
Player's First Name *
Your answer
Player's Last Name *
Your answer
Player's Cell Phone (add country code if not +1) *
Your answer
Player's Residential Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Country of Birth *
Your answer
Desired Position *
Shoot left or right *
Current Club *
Your answer
Original Club *
Your answer
Name of Parent or Legal Guardian *
Your answer
Email of Parent or Legal Guardian *
Your answer
Phone of Parent or Legal Guardian *
Your answer
A copy of your responses will be emailed to the address you provided.
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