2015 InfoSport Pro Soccer Combine Registration
Fully secure and encrypted online registration
First and Last Name
Date of Birth (mm/dd/year)
Mobile Phone (xxx) xxx-xxxx
Permanent Phone (xxx) xxx-xxxx
Permanent Mailing Address
Twitter Screen Name (if applicable)
Instagram Screen Name (if applicable)
Position Played (ONLY LIST ONE) GKs MUST have collegiate or professional experience
Height (x' xx")
Size of Jersey (We make every attempt to provide you the requested size, but cannot guarantee it)
Any injuries/surgeries during career? (List type, date and result):
List any pertinent medical conditions (asthma, diabetes, allergies, etc.):
Do you have a passport?
If yes, from what country is your passport issued?
Do you have dual citizenship with another country?
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:
AGENT INFORMATION (please leave blank if you do not have an agent)
First and Last Name
Phone Number (xxx) xxx-xxxx
COLLEGE / CLUB SOCCER EXPERIENCE
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
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)
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)
Credit or Debit Card Account #
Expiration Date (month/year)
On the next screen you will be sent to Paypal, where you may pay using one of the following methods:
CATERED BOX LUNCH PROVIDED FREE TO REGISTERED PLAYERS ON TWO DAYS (please select)