Information

Player's First Name:*

Player's Last Name:*

Date of Birth:*

Gender:*

Male

Female

Unspecified

Player's Email Address:*

Position:*

Goalie

Defender

Midfield

Forward

Striker

League Play:*

Presidio League

SCDSL

Coast SL

USSDA

ODP

US National Team

Other

Playing History:*

Current team, coach, and playing experience

Parent/Guardian:*

Parent name, email and phone #

Born in the USA:

Are you interested in the Nomads full-time residency or full-time training program:*

Residency

Full-Time w/School

Part-Time (normal)

Both

Nomads Soccer Club & Academy