Please provide your player's first name:

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* 1. Please provide your player's first name:

Please provide your player's last name:

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* 2. Please provide your player's last name:

Please provide your player's valid US Lax number:

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* 3. Please provide your player's valid US Lax number:

Please provide the US Lax Number Expiration Date:

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* 4. Please provide the US Lax Number Expiration Date:

Parent Name

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* 5. Parent Name

Parent Contact Phone Number

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* 6. Parent Contact Phone Number

Parent Contact email:

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* 7. Parent Contact email:

What school grade is your player entering for the upcoming school year?

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* 8. What school grade is your player entering for the upcoming school year?

Which tryout date(s) will you attend? Best to attend both so we can have a longer evaluation time.

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* 9. Which tryout date(s) will you attend? Best to attend both so we can have a longer evaluation time.

Highest level town or club team your player most recently played for?

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* 10. Highest level town or club team your player most recently played for?

Preferred position:

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* 11. Preferred position:

**BE SURE TO CLICK THE "DONE" BUTTON BELOW WHEN FINISHED TO SUBMIT**

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