Player Application
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Select Player Application
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Sex *
AGE *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Player T-Shirt Size *
Player Short Size *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Player Position *
Parent(s)/Guardian(s) Name(s) *
Your answer
Phone (Home) *
include area code
Your answer
Phone (work) *
Your answer
Cell Phone *
Your answer
Insurance Group *
Your answer
Insurance Number *
Your answer
Local Doctor/Hospital *
Your answer
I, [type name in box below] agree to hold harmless the organization and directors of the FC Freeze for any actions resulting from our participation in the soccer training, coaching, travel and other general activities of the club. *
Your answer
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