Tryout Pre-Registration 09

Atlhete's First Name	*
Athlete's Last Name	*
Age	1112 13 14 15 16
Date of Birth	*
Height
Grade	5-6th 7th 8th 9th 10th
School
Previous Club/Clubs
Yrs Club Experience
Position Played
Home Address	*
City	*
Zip Code	*
Mother's Name	*
Father's Name	*
Home Phone Number	*
Cell Phone Number	*
Primary Email Address	*(Required)
11’s / 12’s Combined  Nov 1     2-5 PM CCCC Nov 2    6-8 PM Schim Nov 3 6-8 PM Schim 13’s Nov 1  5-8 PM   CCCC Nov 2   8-10 PM Schim Nov 3  8-10 PM  Schim 14’s Nov 7 8-10:30 AM CCCC Nov 8  2-5 PM CCCC Nov 9 6-9 PM Schim Nov 10 6-8 PM Schim 15s Nov7 10:30-1 PM CCCC Nov 8  5-8 PM CCCC Nov 9 6-9 PM Schim Nov 10 6-8 PM Schim 16’s Nov 15  2-5 PM  CCCC Nov 16 6-8 PM Schim Nov 17  6-8 PM  Schim
SCHOOL TEAM LEVEL PLAYED	A B C