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PLAYER'S INFORMATION
Players First Name
Players Last Name
Players Year of Birth
Please Select
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
Players Full Date of Birth
*
MM/DD/YYYY
Gender
*
Please Select
Male
Female
Email
*
Phone number
*
YOU WILL RECEIVE A CONFIRMATION TEXT - MAKE SURE TO ENTER YOUR CORRECT CELL NUMBER.
Field Position
Video Link
IF AVAILABLE
City
*
State/Region
*
Country of residence
*
United States
Ecuador
Other
How can we help you?
PLAYER SCOUTING
PLAYER REPRESENTATION
TRAINING
Comments
PARENT'S INFORMATION (IF PLAYER IS UNDER 18)
First name
Last name
Parent Email
Parent Phone
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