WI Futsal Factory Academy Info
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Email *
Additional email
Player Last Name *
Player First Name *
Coming from (City and State) *
Gender *
Birth Year (Age Group) *
Date of Birth *
Current Club *
Current Team (please use A, or B, or C Team, etc) Please don't use color or names unless DA or ECNL *
Who is your coach?
Parent Name *
Parent Cell *
Where did you hear about us? *
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