Fall Coach Registration Form

COACH INFORMATION

Coach Name

First Name

Last Name

Cell Phone Number

(###)

###

####

Text Messages

I authorize Elite Soccer League to text me at the number provided above

Email Address

City of Residence

T-Shirt Size

TEAM INFORMATION

Top 3 Uniform Colors

Please separate with a comma ","

Team Gender

Male

Female

Program

Mini Kickers (2020 & 2021)

Rec (2017-2019)

Rec Plus (2013-2016)

Signature/Academy (2012 & Older)

Other

Team Age Bracket

Preferred Practice Day(s) and Time(s)

Players

Please enter players you would like to have on your team, including your son/daughter. Please separate with a comma ","

Comments:

Please incude the preferred number of players you would like on your team.