White Rock Renegades & South Surrey/White Rock Thunder 2019 Tryout Registration

Email address *
ONLINE REGISTRATION
Choose the team you will be trying out for the 2019 season. *
Player's First Name *
Your answer
Player's Last Name *
Your answer
Players Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Home Address *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Alternative Email
Your answer
2018 Association *
Where did you play last year? (include association and team (example - SSWRMSA Thunder 02B)
Your answer
2018 Classification *
What level did you play at last year?
Primary Position *
Secondary Position
Do you have potential conflicting activities? (Soccer, music etc.) *
Describe your potential conflicting activities.
Indicate the date range (season) and time of day that you participate in this conflicting activity.
Your answer
Additional Player Information
Is there anything that you would like the coaches to know about you?
Your answer
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