Clearwater Chargers

Player First Name :
Player Middle Initial :
Player Last Name :
Player Birthdate :	(MM/DD/YYYY)
Age/Division Trying Out In :
The Director of Coaching will review and approve any requests to play up
Player Gender :
Parent/Guardian Name :
Street Address :
City :
State :
Zip Code :
Home Phone :
Cell Phone :
Email Address :
Club Last Played For :	If never played, enter 'none'
Comments :


Please Note: Pursuant to FYSA rules of contact, players not currently registered with the Clearwater Chargers or Countryside Lightning will not receive any communication from the club prior to May 21st and the conclusion of State Cup Finals, other than the email confirmation that the above information for early sign-up for tryouts has been received.

AFFILIATES