Hart Tryout Pre Registration
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Email address *
Player’s FIRST name: *
Player’s LAST name: *
Address: *
Player's Phone #: *
Mother's FIRST name: *
Mother's LAST name: *
Mother's phone #: *
Mother's email: *
Father's FIRST name: *
Father's LAST name: *
Father's phone #: *
Father's email: *
Do you play club soccer? If so what Club? *
Who is your club coach? *
What level is your team? *
Date of Birth *
MM
/
DD
/
YYYY
Grade for the 2021/2022 Season *
What team are you on? *
Position *
Required
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