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PVAAU Soccer
PLAYER TRYOUT REGISTRATION FORM
Please fill in this form completely before you click "Submit" at the bottom of this page.
TRYOUT REGISTRATION
*
Indicates required
Tryuout/Registration Fee:
Athlete's Information
First Name
*
Last Name
*
Middle Initial
Athlete Contact Information
Home Address
*
Home Address Line 2
City
*
State
*
Alaska (AK)
Alabama (AL)
Arkansas (AR)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
Washington, DC (DC)
Delaware (DE)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Iowa (IA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Kansas (KS)
Kentucky (KY)
Lousiana (LA)
Massachussetts (MA)
Maryland (MD)
Maine (ME)
Michigan (MI)
Minnesota (MN)
Missouri (MO)
Mississippi (MS)
Montana (MT)
North Carolina (NC)
North Dakota (ND)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
Nevada (NV)
New York (NY)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Virginia (VA)
Vermont (VT)
Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
Zipcode
*
Eg: 10533
Phone Number
*
Eg: xxx-xxx-xxxx
Cell Number
Eg: xxx-xxx-xxxx
 
check here to allow texting to this phone
Other Information
Email Address
*
Eg: xxx@xxx.xxx
Date Of Birth
*
Eg: mm/dd/yyyy
Gender
*
Male
Female
Height
*
4
5
6
7
8
ft
0
1
2
3
4
5
6
7
8
9
10
11
in
1/4
1/2
3/4
Uniform Shirt
Small
Medium
Large
X-Large
XX-Large
XXX-Large
(Adult Sizes)
Uniform Shorts
Small
Medium
Large
X-Large
XX-Large
XXX-Large
(Adult Sizes)
Uniform #
Educational Information
School Name
Current Grade
Graduation Year
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Parents Information
Mother's Name
Email Address
Eg: xxx@xxx.xxx
Phone Number
Eg: xxx-xxx-xxxx
Work Number
Eg: xxx-xxx-xxxx
Cell Number
Eg: xxx-xxx-xxxx
 
check here to allow texting to this phone
Father's Name
Email Address
Eg: xxx@xxx.xxx
Phone Number
Eg: xxx-xxx-xxxx
Work Number
Eg: xxx-xxx-xxxx
Cell Number
Eg: xxx-xxx-xxxx
 
check here to allow texting to this phone
Medical Information
Insurance Carrier
ID Number
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Trying out for the
PVAAU Soccer
does not guarantee you a roster spot on a team and is purely based on the coaches and evaluators decision. There are absolutely no refunds after the tryouts have commenced.
By clicking the submit button below you agree to these terms.
NOTE: This form will not be submitted unless you have all the required fields complete.
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