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Southern Fuse Coach Nomination Form
Thank you for your interest in nominating a player to attend the Southern Fuse Showcase in Huntsville, AL! Please complete each field below.
For more information about the event, please visit
uspreplax.com/southernfuse
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* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your Last Name
*
Your answer
The School where you Coach
*
Your answer
Please Enter Your Code if You were Given One. If not, please put N/A and we will contact you directly.
*
Your answer
Player First Name
*
Your answer
Player Last Name
*
Your answer
Player Email
*
Your answer
Player Phone number
*
Your answer
What position does the player play?
*
Attack
FOGO
Goalie
LSM
Defense
Midfielder
Graduation Year
2024
2025
2026
2027
Clear selection
Club team the player plays for?
*
Your answer
Player's Highlight Reel if you Have it
*
Your answer
Is there any additional information you would like to share with us relating to your nomination?
Your answer
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