APPLY FORM | ELITE SOCCER SCOUT SERIES

Name *

Date Of Birth *

Email address *

Contact *

Nationality *

Country of Residence *

Weight (Ibs) *

Height *

Team Name *

Name of Coach *

Position 1st Choice *

Position 2nd Choice *

Position 3rd Choice *

Traveling Parent *

Do you play with both feet. (Specify) *

Are you ready to move if selected. *

Contact Prefered day. *

Pick Date *

Your Information May be shared with scouts and teams upon request. Do you agree to these terms. *

By cheching this box, you agree to the above terms and conditions.

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