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Player’s Full Name:*

Does your child have any medical conditions or allergies? *

Date of Birth (MM/DD/YYYY):*

Month

Day

Year

Playing Experience (if any):*

No experience

1-2 years

3+ years

Is your child a member of any soccer academy? If yes, please enter the name*

Preferred Position (if any):*

📍 Tryout Date(s) You Plan to Attend:*

THU . 01

WED. 06 - THU. 08

WED. 13 - THU. 15

WED. 20 - THU. 22

WED. 27 - THU. 29

Parent/Guardian Information

Parent/Guardian Full Name: *

Phone Number:*

Secondary Phone Number:*

Email Address:*

CLUB CONTACT

INFO@HIALEAHCITYCLUB.COM

4200 W 8 AVE HIALEAH FL, 33012

©2023 by Hialeah City F.C

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