Cincinnati West Soccer Club

Tryout Application

Players First Name:

     Last Name:          Players Email Address:            

Mothers First Name:

     Last Name:          Parents Email Address:            
Fathers First Name:     Last Name:
Address:     City:                    State:                Zip Code:  
Main Phone:     Cell Phone:          Cell Phone:
School Attending:     Grade:   Sex : FemaleMale  Soccer Team Last Year:

Date of Birth:

 Month:    Day:  Year:       Age Division
  Does your child want to be considered for the top team in the club?  Yes No
  Does your child have any medical problems that the manager and or coach should be aware of?      Yes No

If yes please explain:
                                                                                                                                                                  required fields

 

Page Last Updated: May 1, 2008

 

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