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2015 InfoSport Pro Soccer Combine Registration
Fully secure and encrypted online registration
Which Combine?
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Men's Combine
Women's Combine
First and Last Name
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Date of Birth (mm/dd/year)
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Mobile Phone (xxx) xxx-xxxx
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Permanent Phone (xxx) xxx-xxxx
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Email address
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Permanent Mailing Address
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City
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State
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Zip
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Twitter Screen Name (if applicable)
Instagram Screen Name (if applicable)
Position Played (ONLY LIST ONE) GKs MUST have collegiate or professional experience
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Height (x' xx")
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Weight (lbs.)
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Size of Jersey (We make every attempt to provide you the requested size, but cannot guarantee it)
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Small
Medium
Large
Extra Large
2XL
Any injuries/surgeries during career? (List type, date and result):
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0/150 words
List any pertinent medical conditions (asthma, diabetes, allergies, etc.):
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0/150 words
Do you have a passport?
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Yes
No
If yes, from what country is your passport issued?
Do you have dual citizenship with another country?
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Yes
No
If so, which country?
If you are not a US citizen, please indicate your US residency status (Green card, Student Visa, etc.)
Please provide the BIRTHPLACE for each of the following:
Yourself:
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Mother:
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Father:
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Maternal GRANDMOTHER:
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Maternal GRANDFATHER:
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Paternal GRANDMOTHER:
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Paternal GRANDFATHER:
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AGENT INFORMATION (please leave blank if you do not have an agent)
First and Last Name
Phone Number (xxx) xxx-xxxx
Web Site
Email Address
COLLEGE / CLUB SOCCER EXPERIENCE
College Attended
Head Coach
Coach's Office Phone Number (xxx) xxx-xxxx
Coach's Email Address
Final Season/Year of Eligibility (20xx)
Participation in this event could impact collegiate eligibility. If you have eligibility remaining, consult with your coach or Ath. Dir.
College Stats, Honors, Awards, Etc.
Please upload a soccer resume/profile if available
CLUB SOCCER EXPERIENCE
If you have a link to an online video (YouTube, Vimeo, etc.) please provide the link here:
PROFESSIONAL SOCCER EXPERIENCE
Please provide details on any professional soccer experience
0/500 words
PAYMENT INFORMATION
NON-GOALKEEPERS
Calculate Your Total (Discounts for early registration)
Combine Fee $309 (on or before September 30, 2014)
Combine Fee $319 (on or before October 15, 2014)
Combine Fee $339 (on or before November 1, 2014)
Combine Fee $359 (on or before November 15, 2014)
Combine Fee $379 (after December 1, 2014)
GOALKEEPERS ONLY
Calculate Your Total (Goalkeepers have 2-days of one-on-one and small group training with MLS and NASL GK coaches BEFORE the other players arrive for the combine. The Goalkeeper event starts on the afternoon of January 4, 2015. Field players arrive on the afternoon of January 6.)
GK COMBINE PREP CAMP & Combine Fee $549
Guest Passes ($5 each)
Guest Pass
Current Total:
$0.00
Calculate
Credit or Debit Card Account #
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Expiration Date (month/year)
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On the next screen you will be sent to Paypal, where you may pay using one of the following methods:
Master Card
Visa
American Express
Discover
Debit Card
E-Check
Paypal Balance
CATERED BOX LUNCH PROVIDED FREE TO REGISTERED PLAYERS ON TWO DAYS (please select)
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Standard Lunch
Vegetarian Lunch
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