Cell Phone :

Phone:

Address:

City:

Zip:

Leagues of Interest Competition level (help) Choose one Beginner (D8) Low - Pure Recreational (D7) Rec to Intermediate (D6) Intermediate (D5) Intermediate to Competitive (D4) Competitive (D3) Competitive to Advanced (D2) Advanced to Semi-Pro (D1)

Day/Time Preferences

Day:

Time:

Are You Interested In: :

Noon Time Pickup

Evening Pickup

Training

How did you hear about us?

Details:

Current Soccer Experience (This is optional, but does help us in finding you a team)

Experience:

Choose one I'm a beginner Only played some pickup Some youth soccer Many years in rec soccer Some competitive experience Played high school Played on competitive adult team Played on college or pro team

Current skill:

Choose one Are we supposed to kick the ball? Don't ask me to dribble Basic ball control and passing skills Not super, but better than average OK, I'm pretty good I have to admit I'm very good I'm a stud/studette I still have the magic!

Current Fitness:

Choose one Should lose >25lbs, but still play Should lose baby/sympathy weight Overweight, but in shape Need a break once a half Tired after a sprint Tired after a couple of sprints Good fitness and stamina Little to no body fat

Desired Position:

Primary Goalie Left Defense Right Defense Left Midfield Center Midfield Right Midfield Left Forward Right Forward Secondary Goalie Left Defense Right Defense Left Midfield Center Midfield Right Midfield Left Forward Right Forward

Current Leagues

Team(s):

Outdoor League:

Division:

None

Indoor League::

Division:

None

Comments: