2023 SELECT PLAYER EVALUATION REGISTRATION
Help us make this the best Evaluation experience you have ever had!  Please make sure to fill out all of the information completely.  We look forward to seeing you at the Select Player Evaluations. 
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Sample Select Player Evaluation Format
What Select Player Evaluation will your Player Attend? *
See the Schedule listing on our website if you are not sure 
Player First Name: *
first name
Player Last Name: *
last name
Player date of birth: *
use format Month/Day/Year
MM
/
DD
/
YYYY
School: *
If you Add Other please List in the next Question
If you chose Other in Schools please list the name here
Gender *
Which Grade is the player in?
Your Players Year of Birth *
What is your Players year of birth as stated on their Birth Certificate
Preferred Role on the Field:
What is the players strongest position on the field?
What is your players best soccer skill
Has this player attended LNYSA Select Evaluations/Tryouts in the past:
Clear selection
Tell Us about your child's Soccer History?
Parent/Guardian Name: *
First and Last
Parents Email Address: *
You will receive updated information from time to time about the Evaluations
Parents Cell Phone: *
Required in case of Emergency Contact
Which City do you Live in: *
By submitting this form I am releasing LNYSA, Inc.  and all Directors and Coaches from responsibility of any injury or damages that might occur as a result of attending the Select Player Evaluations. I hereby authorize LNYSA, Inc. staff to act for me according to their judgment in any emergency requiring medical attention and I hereby waive and release LNYSA, Inc and its Directors and Coaches from any and all liability stemming from any injuries or illnesses incurred while at Select Player Evaluations.  I have no knowledge of any physical impairment which would be affected by participation in the Select Player Evaluations as outlined. I understand this Select Player Evaluations consists of strenuous physical activity. *
Parents should please review the above release and type their LEGAL NAME below.
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