Registration Form (WPSL Squad 2019)

Supplemental Tryout

Date: May 6th and 8th

Field: Kearny Senior High School

Time: 18:00 - 20:00

Fee: Free

Once you fill out the form below and submit, we will send you a confirmation email.

NAME

ADDRESS

PHONE

Email Address

DOB

Birth Country

Height

Position

Playing Experiences (Name of HS/Club/College/WPSL)

Participating Date

May 6th

May 8th

Both

Other (can't make these days)

Message

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Note: Please fill out the fields marked with an asterisk.