2014 Try-out Registration Form
Age group you are trying out for:
*
U8 ACADEMY GIRLS INFO 8/1/06-7/31/07
U8 ACADEMY BOYS INFO 8/1/06-7/31/07
U9 Girls 8/01/05 to 7/31/06
U9 Boys 8/01/05 to 7/31/06
U10 Girls 8/01/04 to 7/31/05
U10 Boys 8/01/04 to 7/31/05
U11 Boys 8/01/03 to 7/31/04
U11 Girls 8/01/03 to 7/31/04
U12 Boys 8/01/02 to 7/31/03
U12 Grils 8/01/02 to 7/31/03
U13 Boys 8/01/01 to 7/31/02
U13 Grils 8/01/01 to 7/31/02
U14 Boys 8/01/00 to 7/31/01
U14 Girls 8/01/00 to 7/31/01
U15 Boys 8/01/99 to 7/31/00
U15 Girls 8/01/99 to 7/31/00
U16 Boys 8/01/98 to 7/31/99
U16 Girls 8/01/98 to 7/31/99
U17 Boys 8/01/97 to 7/31/98
U17 Girls 8/01/97 to 7/31/98
U18 Boys 8/01/96 to 7/31/97
U18 Girls 8/01/96 to 7/31/97
U19 Boys 8/01/95 to 7/31/96
U19 Girls 8/01/95 to 7/31/96
Player shirt size:
*
YS
YM
YL
AS
AM
AL
AXL
Player's First Name:
*
Player's Last Name:
*
Gender:
*
Male
Female
Age Today:
*
6
7
8
9
10
11
12
13
14
15
16
17
18
Player's Date Of Birth
Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Day:
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
*
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Address:
*
City:
*
Zip Code:
*
Parents Names:
*
Parents Names:
Phone number:
*
Phone number:
If your child has made a team what number can we reach you at:
*
Email:
*
Email:
Have you played on a select team before:
*
Yes
No
If yes how many seasons have you played:
1-2 (one full year)
3-4 (two full years)
5 and up
If you played on a Delaware Select team who was your coach:
Are you playing High School Soccer this upcoming Fall season:
*
Yes
No
If YES, at what High School:
Emergency Contact Info:
Name:
*
Number:
*