Citadel Tryout Registration Form

Citadel Futbol Club Online Player Profile Form

Instructions: Fill out the information below and press the Submit button to send it to the webmaster. Your information will be posted online within 48 hours. Please visit your team's web page, roster section, to find the link to your Player Profile. If you have any questions please contact the webmaster.

PLAYER INFORMATION

FIRST NAME: MIDDLE INITIAL:

LAST NAME:

CURRENT GPA: CURRENT GRADE IN SCHOOL:

CITADEL INFORMATION

TEAM: POS. 1: ALT POS:

UNIFORM NUMBER:

COACH: COACH EMAIL:

SCHOOL INFORMATION

SCHOOL: CITY: STATE:

TEAM: POS. 1: ALT POS:

UNIFORM NUMBER:

COACH: COACH EMAIL:

AWARDS AND ACCOMPLISHMENTS

PLEASE TYPE IN ANY AWARDS YOU HAVE RECEIVED, ACCOMPLISHMENTS, ACHIEVEMENTS, OR ANYTHING WHICH YOU FEEL DISTINGUISHES YOU.

CONTACT INFORMATION

PARENT NAME : Mr. Ms.

FIRST: LAST:

HOME PHONE: (260) EMAIL:

CITADEL PARENT/PLAYER MEDIA RELEASE

I understand that by submitting this form I am allowing Fort Wayne United Soccer Association (FWUSA) to publish my Player Profile on the club's website.

I AGREE I DISAGREE

WE WOULD LIKE TO HAVE A RECENT PHOTO IF POSSIBLE. PLEASE EMAIL IT TO THE WEBMASTER. PLEASE MAKE SURE TO PUT "PLAYER PROFILE PHOTO" IN THE SUBJECT LINE.

Rev 10/07