Play Up Application
Parkland Soccer Club/ Play-Up Application Form
Player's Current Information (A Parent/Guardian must provide this information for the valuation)
Age Group for current season: (circle) 09 08 07 06 05 04 03 02 01 00
Boys Girls
Players Name:_____________________________________
Date of Birth:______________________________________
Team Name: ______________________________________
School Grade:_____________________________________
Coach Phone Number:______________________________
Parent/Guardian Name: _____________________________
Phone Number:____________________________________
Players Address:___________________________________
City/State/Zip:_____________________________________
Requested Age Group (circle one) 09 08 07 06 05 04 03 02 01 00
Following sections to be completed by Parkland Soccer Club:
Player Evaluation Information
Game/Tryout __________________Date_____________
Assessor Name ___________________________
Date ____________________________________
Assessed________________________________
(Guideline: Contact current Coach for game information for evaluation, Assessor must observe a player in field to fairly determine a player's abilities. For approval a player must clearly demonstrate above average skills.)
Recommendation
Director of Soccer Operations ________________________________
Current Age Group ________________________________
Requested Age Group ________________________________
Play Up Decision
Director of Soccer Operations ____________________
Comments
Please Circle One: Approve Disapprove
Date of approve/disapprove ____/____/_________
Signature for approval/disapproval. ________________________________