Northeast Catholic Soccer Prospect Information Form

Contact Information

First Name:

Last Name:

              Address:
                   City: State:   Zip:

Phone: --  

 (999-999-9999)

Email:

Personal Information

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Birthdate (mm/dd/yyyy)

Height: ft - in    Weight: lbs

Current School:   Grade:

Soccer Experience

Have you played organized soccer? 

Yes No

If  'Yes' , where did you play?

What position did you play ?

Please add any comments and/or questions that you may have about NC Soccer: