LMSC Boys Developmental Academy Tryout Registration Form

Thank you for registering for Lower Merion Soccer Club's upcoming Developmental Academy tryouts. Please fill out the form below so that we can contact you with any additional information about our tryouts, date changes, etc.
Child's Last Name*
Child's First Name*
Address*
Street Address City State ZIP Code
Phone*
Primary E-Mail Address*
Enter Email Confirm Email
Second E-Mail Address (Optional)
Enter Email Confirm Email
Parents' Names*
Gender*
- Male
- Female
- Other
Birthdate*
YYYY slash MM slash DD
Current Team*
Please write in your current club / team and the name of your head coach.
Additional Comments
Please feel free to enter any additional comments here: