Player Information First Name: Last Name: Birthdate: enter as mm/dd/yyyy Age Group: select one U18 U17 U16 U15 U14 U13 U12 U11 U10 (academy) U9 (academy) U8 (academy) see chart to the right Gender: select one male female Position: select one field player goalkeeper High School: E-mail: this will be the primary contact e-mail. Cell Phone: Address: City: Zip Code: Previous Club: other teams/clubs you have played for (if applicable). Previous level: e.g., CIYSL, GiRLS, ISL, MRL Current CESC Uniform #: if applicable Your top 4 Uniform # choices: 1 2 3 4 Father's Information Name: Cell Phone: E-mail: Mother's Information Name: Cell Phone: E-mail: Home Phone: Interested in being a team manager? select one yes maybe no Additional Information Comments: Please make sure everything is filled in above.