PROSPECTIVE PLAYER PORTAL | BSCNA

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BLACKPOOL SPORTS CLUB N.A.

PROSPECTIVE PLAYER PORTAL

TEAM GUYANA PLAYER PROFILE SOCCER FORM

Player Name

Gender

Are you a Minor?

Birthdate

Parent Name

Parent Phone

Parent Email

Phone

Email

How did you hear about us?

"Other" selection continued...

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

How are you eligible to represent Guyana?

Do you have a valid Guyanese Passport?

Passort Expiration Date

What is your height?

What is your weight?

Description off Soccer Experience

How long have you played football (soccer)?

What Club(s) and/or College(s) have you played for?

What Positions have you Played?

Link to your video

Thank you! We will be in touch.

© 2022 Blackpool Sports Club N.A.

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