Player Interest Form

Please complete the below form to register your interest for our Academy. Please note that due to high volume we cannot reply to all submissions.

First name*

Last name*

Date of birth*

Year/Month/Day

Graduation year*

Height*

Weight*

Dominant foot*

Right

Left

Preferred position*

Parent/Guardian Phone Number*

Parent/Guardian Email*

Player Phone Number*

Player Email*

Home Address*

Do you have accommodations to live in Sacramento?*

Yes

No

Current Club*

Current Club Jersey #*

Current Club Director*

Club Director Phone Number*

Club Director Email*

Upload Video Highlights (if available)

Additional Comments/Questions*

Yes, please add me to the Republic FC Mailing List