Player Try-out Information Form
Player
__________________________________|__________________M / F____(____)______________
Name Birthdate Gender Home phone
__________________________|_____________________________________________________
e-mail Mailing Address
Adult Contact(s)
________________________________________(____)_______________(____)______________
Name/Relationship Home phone Work/Cell phone
__________________________|_____________________________________________________
e-mail Mailing Address (if different)
Adult Contact(s)
________________________________________(____)_______________(____)______________
Name/Relationship Home phone Work/Cell phone
__________________________|_____________________________________________________
e-mail Mailing Address (if different)
Player soccer experience
_______________________________________________________________________________
_______________________________________________________________________________
Desired level of play (Please rank, 1=highest) Div II (local) Div Super-II Div I
Play-up desired? No Yes No preference
Travel restrictions <20% travel 50% travel No restrictions
Training/practice availability (max times per week) 3 2 1
Please list all extracurricular activities
|
Activity |
Level |
Season |
Commitment (times/week) |
Priority (1=highest) |
|
|
1 |
Select soccer |
competitive |
Aug-May |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
Other Comments/Considerations
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______________________________________________________________________________ Please bring to try-outs or mail to: SSSC, P.O. Box 5275, Beaumont, TX 77726