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REGISTRATION FORM
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Personal Information:
Name
*
Preferred Name
Date of Birth
*
Gender
Male
Female
Other
Cell #
Email Address
*
Email
Confirm Email
School/University
Current Grade
Graduation Year
Family Information:
Mother's Name
Father's Name
Cell #
Cell #
Athletic Information:
Height
Weight (kg)
Gear Size
S/M/L
S
M
L
Preferred Position
*
Preferred Position
Goalkeeper
Defender
Midfielder
Forward
Secondary Position
Secondary Position
Goalkeeper
Defender
Midfielder
Forward
Program Interested In
U9/U10 Junior Development Training
U12/U13 Development Training
U14/U16 Intermediate Training
U18/U19 Elite Training
Over 20 Elite Training
Please tell us about your personal goals, your football journey so far and why you want to join NLSM?
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