ECLIPSE ECNL
Thank you for your interest in the ECNL program at Eclipse Select Soccer Club- PLEASE NOTE ALL INFORMATION WILL BE KEPT CONFIDENTIAL
Players name
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Date of Birth
MM
/
DD
/
YYYY
Graduation Year- HS
Your answer
Parent's email- primary
Your answer
Parent's mail- secondary
Your answer
Parents phone( please include area code)- primary
Your answer
Parents phone- secondary
Your answer
Player's Current Club
Your answer
Players's primary position
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