Centaurus FC Spring 2025 Tryouts Registration Form

Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

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Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Positions Played *

Which positions does your child play?

Goalkeeper

Defender

Midfield

Winger

Striker

Don't know yet

Dominant Foot

Which is your child's dominant foot?

Left

Right

Both

Don't know yet

How did you hear about us? *

Friend or Family Member

School

Facebook

Instagram

Currently participate in JÖUK

Beacon

Other

Electronic Signature Date *

MM

DD

YYYY