FC NOLA / F.C. New Orleans Youth Soccer Club Competitive Player Registration (Club/Travel Soccer)

Real Player Registration

Player Birth Date *

Player's Last Name *

Last

Player's First Name *

First

Father's First Name *

First

Father's Last Name *

Last

Mother's First Name *

First

Mother's Last Name *

Last

Email - Primary *

Email - Secondary

Email - Player's

Mobile Phone - Player's

Mobile Phone - Primary Parent/Guardian Contact

Mobile Phone - Secondary Parent/Guardian Contact

Please indicate below if it is okay to release your personal email and phone numbers to the Louisiana Soccer Association? Your information will not be shared with anyone else.

Sharing email and mobile phone contact info

Yes

Home Address *

Home Address

City

State/Province

Zip/Postal

Country

Position Experience/Preference

Attach Player Photo (jpeg only files)

Maximum upload size: 2MB

Programming Interest

Competitive (Ages 10 & Older)

Developmental (Ages 4 to 9)

Developmental/Competitive (Ages 5 to 9)

Camp

Education/International Opportunities

Tryouts

2017 French Thanksgiving Trip (open to players born in 2004 and 2005)

Birth Certificate Upload

Maximum upload size: 5MB

Medical Conditions

Emergency Contact Information Instructions

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