Florida Premier Soccer 2010/11 School of Excellence Tryouts

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1. Please provide the players name and contact information

Please provide the players name and contact information   Name:
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP:
Email Address:
Phone Number:

2. Please provide the players Date of Birth:

	MM		DD		YYYY
Date of Birth	Please provide the players Date of Birth:   Date of Birth   Month	/	Day	/	Year

3. Gender

Gender   Male Female

4. Please select the 2010/11 age group that the player is looking to tryout for:

Age Groups	U6 (born after 08.01.04)U8 (born after 08.01.02)U10 (born after 08.01.00)U11 (born after 08.01.99)U12 (born after 08.01.98) Please select the 2010/11 age group that the player is looking to tryout for:   Age Groups

5. Please select the SOE Team/Area that you would like to try out for

Team/Area	East Orlando; Avalon Park (Tanja King Park), Avalon.South Orlando; Airport Lakes Park, Orlando.West Orlando; Hickory Point Soccer Complex, Tavares.West Central Orlando; National Training Center, Clermont.North West Orlando; Apopka Athletic Complex, Apopka.Central Orlando; Trotters Park, Orlando. Please select the SOE Team/Area that you would like to try out for   Team/Area