Player Information Sheet
Player Information Sheet 2017
Gender: Male
Female
_____________________ First Name
___________
Age Group: U6 U8 U10
____ MI
______________________________ Last Name
____________________________ School
Current Grade
________________________ Birthday (MM/DD/YY)
__________ Years Played
Jersey:
YXS
YS
YM
YL
AS
AM
AL
Shorts:
YXS
YS
YM
YL
AS
AM
AL
Socks:
Youth
Regular
Did Player play in STARS in the past? YES
King
NO STARS Use Only
US Club Soccer Registration:
Parent signed ____
Medical Form: Parent signed ____
Allergies ____
Proof of Age: Proof of age on file ____
Email & phone number legible____ Medical Condition ____
Insurance ____
Age group verified ____
Uniforms: Sizes completed above____ Coaches: Volunteer form ____
Instruct to complete concussion training & background ____
Payment: Fee $ ___________ check # _________ Other form of payment: ____________________ Assigned Team: _________________________
Gender: Male
Female
_____________________ First Name
___________
Age Group: U6 U8 U10
____ MI
______________________________ Last Name
____________________________ School
Current Grade
________________________ Birthday (MM/DD/YY)
__________ Years Played
Jersey:
YXS
YS
YM
YL
AS
AM
AL
Shorts:
YXS
YS
YM
YL
AS
AM
AL
Socks:
Youth
Regular
Did Player play in STARS in the past? YES
King
NO STARS Use Only
US Club Soccer Registration:
Parent signed ____
Medical Form: Parent signed ____
Allergies ____
Proof of Age: Proof of age on file ____
Email & phone number legible____ Medical Condition ____
Insurance ____
Age group verified ____
Uniforms: Sizes completed above____ Coaches: Volunteer form ____
Instruct to complete concussion training & background ____
Payment: Fee $ ___________ check # _________ Other form of payment: ____________________ Assigned Team: _________________________
