2017 ST. PETE RAIDERS TRYOUTS
PRE-REGISTRATION FORM
Player Legal First Name
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Player Legal Last Name
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Gender
Player Date of Birth
PLEASE enter in MM/DD/YYYY format
MM
/
DD
/
YYYY
Address
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Address 2
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City
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State
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Zip Code
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Primary e-mail
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Secondary e-mail
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Primary Phone Number
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Secondary Phone Number
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2016-17 Age Group
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Current soccer Club
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