PEORIA SOCCER CLUB

Spring 2012 Player Evaluation Registration Form

Tryouts will be held on Saturday, February 4th
in the Ridgeview Elementary School Gym

Saturday 2/4 from 12:00 PM to 12:45 PM: 6 - 8 year olds
Saturday 2/4 from 1:00 PM to 1:45 PM: 9 - 11 year olds

Saturday 2/4 from 2:00 PM to 2:45 PM: 12 - 14 year olds
Saturday 2/4 from 3:00 PM to 4:00 PM: 15 - 19 year old boys

There is NO CHARGE to participate in player evaluations!

SEE OUR WEBSITE (WWW.PEORIASOCCERCLUB.ORG)
FOR THE WINTER 2011 / SPRING 2012 PROGRAM FLYER


Player First Name:

Player Last Name:

Player Birth Date:

Current Soccer Team and/or League:

Boys Team:
Girls Team:


Contact Information
 

Parents' Names:

Address:

Street:
City:
State :
Zip:

Home Phone:
Cell Phone:
Cell Phone 2 (optional):
E-mail:
E-mail 2 (optional):
E-mail 3 (optional):  


Other information we should know about your player including any special requests: