Player Information Form | INVICTUS FC

State Cup Player Information Form

Player's First Name: *

Player's Last Name: *

Player's Date of Birth: *

Parent/Guardian Emergency/Primary Cell Phone Number: *

Parent/Guardian Primary Email Address: *

Please upload a completed copy of the player's US Youth Soccer Medical Release form: *

If you have not already completed this document, please do so now before your proceed. IMPORTANT: You must download and save this form on your computer before you complete it digitally. Alternatively, you can just print the blank form, complete by hand, and simply take a picture to upload. CLICK HERE TO DOWNLOAD FORM.

Please upload the player's passport style headshot picture: *

Please upload a copy of player's birth certificate: *

Please upload a copy of player's school report card: *

*IMPORTANT: Please make sure the report card clearly indicates the school address. If it does not. Please obtain a letter from the school indicating that the student attends the school. The letter should include the address of the school either as a letter head or in the body of the letter.

Home Street Address: *

Country

City

State

Zip code

*Note: After hitting the Submit Information button below, please allow time for your files to upload. Do not refresh the page or close the window until you receive a confirmation message.