Player Registration
Slammers FC - 2008 Camp
The Slammers Soccer Academy Camp is now available for all prospective players 5-18 years old male and female.
Instructions
1
You
must complete every space
of the registration form.
2
Fields with a
*
must
be completed without exception
Player Information
*
First Name
Middle Initial
*
Last Name
Month
Day
Year
*
Date of Birth
?
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
?
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
*
Gender
Male
Female
*
Grade Entering in Fall
?
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Address
Address
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip code
*
Player/Parent Email
(example: name@xxxx.xxx,
if none enter None)
Area Code
Local Number
(
)
-
*
Home Phone
Cell Phone
(
)
-
Sports Information
Team
*
T-Shirt Size
?
YS: Youth Small
YM: Youth Medium
YL: Youth Large
AS: Adult Small
AM: Adult Medium
AL: Adult Large
AXL: Adult Extra Large
Positions Played
Forward
Midfield
Defender
Goalkeeper
Additional Comments
(Enter any additional information, if no additional information, enter None)
*
Medical Conditions
(Please list any relevant medical conditions, allergies, and/or medication taken on a regular basis, if no medical conditions enter None. 200 letters max)
Parent/Guardian Information
*
Parent/Guardian
?
Father
Mother
Legal Guardian
*
First Name
Middle Initial
*
Last Name
*
Home Phone
Area Code
Local Number
(
)
-
Work Phone
(
)
-
Cell Phone
(
)
-
email
Additional Parent/Guardian
?
Father
Mother
Legal Guardian
First Name
Middle Initial
Last Name
Home Phone
Area Code
Local Number
(
)
-
Work Phone
(
)
-
Cell Phone
(
)
-
email
Emergency Contact Information
First Name
Last Name
Home Phone
Area Code
Local Number
(
)
-
Work Phone
(
)
-
Cell Phone
(
)
-