2017-2018 Tryout Registration Form
Tryout # _______ $20 Fee Paid_______: _______Cash _______ Check All checks to be made payable to “MFC”
2017-2018 Tryout Registration Form Please print clearly since this information must be read and entered into a database. Failure to do so may result in you not being contacted in a timely matter or at all. Birth Year and Gender of Player: Year of Birth___________ Female _______ Male_________ Player’s Name _____________________________________________________________________________ First Middle Initial Last Preferred Name: ________________________________Age: _______ Birth date: _______/______/______ Address: ________________________________________________________________________________ Street City State Zip Mom’s Email: ____________________________________________________________________________ Dad’s Email:
___________________________________________________________________________
Position(s) : _______________________________________________________________________________ Does this player participate in any other sports or does this player play high school soccer? Please list any sports played and well as where the player plays high school soccer.
__________________________________________________________________________________________ Other information Please signify with a “X” the best contact person below.
(
) Father’s Name: _______________________________________________________________________
Cell phone: _______________________________ Home phone: ___________________________________ (
) Mother’s Name: _____________________________________________________________________
Cell phone: ____________________________
Home phone: ___________________________________
D2 and/or D3 Organization played at for the previous season (D1 information is answered below) __________JFC D3 __________NWRAA D3 _________ MADISON D3 ____________Other D3 (Please specify) If you are a 2006 or 2007 or 2008 birth year player and not from Jackson or Madison, please specify the community team you will be trying out for in order of preference. i.e. Which location would you like to play at?
___________ Jackson
__________Madison
___________Rankin
D1 Organization for the previous season:
D1 Rush Coach played for and age group (Please specify Jackson, Rankin, Madison, combined/merged team)
___________________________________________________________________________________ Other D1 Organization (please specify organization and coach) __________________________________ **If offered a spot on a team, there will be a $120 intent to play fee that will need to be paid IMMEDIATELY after the spot is offered to secure the player’s spot within the organization for the 2017-2018 seasonal year. **
2017-2018 Tryout Registration Form Please print clearly since this information must be read and entered into a database. Failure to do so may result in you not being contacted in a timely matter or at all. Birth Year and Gender of Player: Year of Birth___________ Female _______ Male_________ Player’s Name _____________________________________________________________________________ First Middle Initial Last Preferred Name: ________________________________Age: _______ Birth date: _______/______/______ Address: ________________________________________________________________________________ Street City State Zip Mom’s Email: ____________________________________________________________________________ Dad’s Email:
___________________________________________________________________________
Position(s) : _______________________________________________________________________________ Does this player participate in any other sports or does this player play high school soccer? Please list any sports played and well as where the player plays high school soccer.
__________________________________________________________________________________________ Other information Please signify with a “X” the best contact person below.
(
) Father’s Name: _______________________________________________________________________
Cell phone: _______________________________ Home phone: ___________________________________ (
) Mother’s Name: _____________________________________________________________________
Cell phone: ____________________________
Home phone: ___________________________________
D2 and/or D3 Organization played at for the previous season (D1 information is answered below) __________JFC D3 __________NWRAA D3 _________ MADISON D3 ____________Other D3 (Please specify) If you are a 2006 or 2007 or 2008 birth year player and not from Jackson or Madison, please specify the community team you will be trying out for in order of preference. i.e. Which location would you like to play at?
___________ Jackson
__________Madison
___________Rankin
D1 Organization for the previous season:
D1 Rush Coach played for and age group (Please specify Jackson, Rankin, Madison, combined/merged team)
___________________________________________________________________________________ Other D1 Organization (please specify organization and coach) __________________________________ **If offered a spot on a team, there will be a $120 intent to play fee that will need to be paid IMMEDIATELY after the spot is offered to secure the player’s spot within the organization for the 2017-2018 seasonal year. **
