Tryout Registration

Burlington Soccer Club would like to invite you to attend tryouts for the 2010-2011 seasons. 

Player's First Name (*):
Player's Last Name (*):
Age Group (*):
Player's Date of Birth (mm/dd/yyyy) (*):
Player's Gender (*):
Player's Address (*):
Player's City (*):
Player's State (*):
Player's ZIP Code (*):
Home Phone (*):
Work Phone:
Mobile Phone:
E-Mail Address:
Father's Name:
Mother's Name:
Previous Team:
$10 Tryout Fee Payment Method (*):