Parkland Soccer Club/ Play-Up Application Form

Player's Current Information (A Parent/Guardian must provide this information for the valuation)

Age Group for current season: (circle) 09 08 07  06  05  04  03  02  01  00

Boys      Girls

Players Name:_____________________________________

Date of Birth:______________________________________

Team Name: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________

School Grade:_____________________________________

Coach Phone Number:______________________________

Parent/Guardian Name: _____________________________

Phone Number:____________________________________

Players Address:___________________________________

City/State/Zip:_____________________________________

Requested Age Group (circle one)   09 08 07  06  05  04  03  02  01  00

Following sections to be completed by Parkland Soccer Club:

Player Evaluation Information

Game/Tryout __________________Date_____________ 

Assessor Name ___________________________

Date ____________________________________

Assessed________________________________

(Guideline: Contact current Coach for game information for evaluation, Assessor must observe a player in field to fairly determine a player's abilities. For approval a player must clearly demonstrate above average skills.)

Recommendation

Director of Soccer Operations ________________________________

Current Age Group ________________________________

Requested Age Group ________________________________

Play Up Decision

Director of Soccer Operations ____________________

Comments

Please Circle One: Approve Disapprove

Date of approve/disapprove ____/____/_________

Signature for approval/disapproval.  ________________________________