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In Memory of Jim Reese
Tryout Registration
First Name
Last Name
Street1
Street2
City
Zip
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
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
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
Age Group Trying Out For
(Play ups into the U11 age group are allowed)
Select age group
U11 8/1/97-7/31/98
U12 8/1/96-7/31/97
U13 8/1/95-7/31/96
U14 8/1/94-7/31/95
U15 8/1/93-7/31/94
U16 8/1/92-7/31/93
U17 8/1/91-7/31/92
U18+ 8/1/89-7/31/91
Number of Years Playing?
Currently registred with USYSA?
N
Y
Current Club
Current Team
Home Phone
Day Phone
Email
Would you like to be contacted by a coach in your appropriate age group before tryouts?
Y
N
Father's Name
Father's Phone
Father's Email
Mother's Name
Mother's Phone
Mother's Email
