	College Night Player Tryout Registration Form

First Name
Last Name
Address
City
State
ZIP
Position Played?
Email
Phone Home
Date of Birth	mm/dd/yyyy
Height
Weight
Graduation Year
High School
HS Coach
HS Coach Phone
G.P.A.
Class Ranking
Number in Class
PSAT
SAT
Academic Honors
Athletic Honors
Club Soccer Team
Club Coach Name
Club Phone
# of years ODP
Please print this form prior to pressing Submit and bring it with you to the first Tryout with the Medical Release Form and $10.00 fee.

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