Linn-Mar Mens Soccer: New Player Registration Form
Section 1: Player Contact Information
Player Name
Age
Year In School
9th Grade
10th Grade
11th Grade
12th Grade
Home Address
I am a foreign exchange student
Yes
No
City, State, Zip
Home Phone
Email Address
Cell Phone
Do You Use Facebook?
Yes
No
Do You Use Twitter?
Yes
No
Section 2: Soccer Experience
Years of Soccer Experience
Positions Played (check all that apply)
Years of Club Soccer
Goalkeeper
Defender
Sweeper
Stopper
Club History
Still Active
No Longer Active
Center Mid
Outside Mid
Forward/ Striker
Most Recent Club Team
CRSA
Heartland
ISC
EIU
MSC (Marion)
PSC (Prairie)
AYSO
Other
Preferred Position
Goalkeeper
Defender
Sweeper
Stopper
Center Mid
Outside Mid
Forward/Striker
Other Activities You're Involved With
Section 3: Parent/Guardian Contact Information
Mother/Guardian Name
Father/Guardian Name
Primary Email
Primary Email
Cell Phone
Cell Phone
Employer
Employer
Do You Use Facebook?
Yes
No
Do You Use Facebook?
Yes
No
Do You Use Twitter?
Yes
No
Do You Use Twitter?
Yes
No