Darlington Football Academy Player Contact Information Form

Darlington Football Academy
Player Contact Information Form
PLAYER INFORMATION
Age ________
Player Birth Date: _____/______/___
Gender:
□ M □F
Position: Out ______ Keeper_____
Last Name:
First Name:
Address:
City:
Primary Phone #:
(home)/(cell)
Alternate Phone#:
Postal Code:
(home)/(cell)
E-Mail:
ALL PLAYERS MUST BE CURRENTLY REGISTERED AND PLAYING IN THE DARLINGTON SOCCER CLUB
NOTES
ACADEMY USE ONLY
Darlington Soccer Club Inc.
2375 Baseline Road West, Bowmanville, ON L1C 3K3
Contact Info: 905-623-7309 Fax: 905-623-4523 [email protected]