Name Player's Full Name * Guardian's Name Name of your legal Guardian if player is under the age of 18. Primary Contact Email * Emergency Contact Name * Name of your emergency contact. This must be different from the primary contact to ensure we can contact someone in the event of an emergency. Emergency Contact Email * Second email contact that can't be the same as the primary to ensure we can reach someone in the event of an emergency. Street Address * City * Current City of Residence Postal Code Player's Health Card Number * Primary Contact Number * Alternative Contact Phone Number Player's Weight * Player's Height * Player's Birthday * Enter the player's date of birth Last Team You Played For Positions Played Years Playing Football Share this:ShareFacebookTwitter
