Empire United Player Interest Form
Please complete the following form if you are interested in learning more about Empire United for the 2020/2021 season. Once your form is submitted, a club representative will contact you using the provided contact information.
Email address *
Player Name: *
Submitter Name: *
Phone Number (optional):
Player Gender *
Player Birth Year: *
Which program are you interested in? *
Current Club & Team:
Notable Playing Experience:
Additional Comments:
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