Pro Team Tryout Form

Please submit the following form to be considered by the Head Coach. International Players must be in the U.S. with a valid VISA - we do not provide invitations or support in this matter. Thank You.

First	*
Last Name	*
Phone	*
Email Address	*
Address	*
City	*
State	*
Country	*
Zip	*
Player's Birthdate	*
Player's Age	*
Height	*
Weight	*
U.S. Citizen?		Yes No
If no, do you have a Green Card?		Yes No
Position		Goalkeeper Defender Midfielder Forward
Pro Experience
College Experience
H.S./Club Experience
Medical Injuries - Past 5 years?
Liability Waiver		By submitting form you agree to accept the City Islanders Assumption of Risk and Liability of Waiver