Tryout Registration Form For 2019-20
Long Island City Youth Soccer Academy Has Limited Spots For 2019-20. It is free to tryout with Long Island City Youth Soccer Academy you just need to fill up this form.

Address: PS2 Alfred Zimberg Gym (75-10 21st Avenue East Elmhurst, NY 11370-entrance on 76th street)
Date/Time: Friday: 6:00pm | 7:00pm | 8:00pm or 9:00pm, Saturday: 12:15pm | 1:30pm | 3:00pm | 4:30pm (depends on the age)

All players must wear shin guards & indoor soccer shoes (no cleats please, its turf field). If your child wears glasses, please ensure that they are shatter proof. Please plan to arrive 15 minutes prior to tryout time

Contact us: +1 (917) 698-1302 (coach Nikola) or licsoccer@yahoo.com
https://www.facebook.com/LICYOUTHSOCCER/
http://licyouthsocceracademy.com/

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Official Youth Soccer Partner of New York City FC
Long Island City Youth Soccer Academy Registration Form
Player's first name: *
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Player's last name: *
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Player's date of Birth: *
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Address: *
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City: *
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Zip: *
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Telephone Number: *
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Parent/Guardian's First Name: *
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Parent/Guardian's Last Name: *
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Tryout schedule for Player born in: *
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Please select date and time you would like to tryout, following the schedule above: *
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