2014 Fall Kamloops Prospect Academy Evaluations

This is the registration form for the 2014 Fall Kamloops Prospect Academy Evaluations.
* required information
Please complete this form: 
Player Information
First Name:*
Last Name:*
Kamloops Evaluation Group:*
Team 1 Level of Play:*
Player Birth Day:*
Player Birth Month:*
Player Birth Year:*
What club do you play for?:
Primary Position:* Striker/Forward
Midfield
Defender
Goalkeeper
Parent/Guardian Name:*
Primary Email:*
Phone:*
Fees
  Evaluation Session