Ventura County Fusion - Southern California Soccer

TRYOUTS

Ventura County Fusion Soccer Club Combines
TRYOUT APPLICATION FORM

Mens Session PDL Tryout 1 - Dec 12-13 2009 $50
Ventura College
4667 Telegraph Rb, Ventura Ca 93003
Click here for Mens printable application

Mens Session PDL Tryout 2 - Jan 16-17 2010 $50
Ventura College
4667 Telegraph Rb, Ventura Ca 93003
Click here for Mens printable application

Mens Session PDL Tryout 3 - Feb 14-15 2010 $50
Santa Paula
East Area 1 Soccer Fields
18249 Telegraph Rd, Ventura Ca 93060
Click here for Mens printable application

For more information or questions please call 805-256-0925

*Tryout Date:** MENS - Dec 12-13, 2009 MENS - Jan 16-17, 2010 MENS - Feb 14-15, 2010

Name*:
Date of Birth*:	mm/dd/yyyy
Address*:
City* / Zip*:

Home Phone*:
Cell Phone:
Work Phone:
Email*:

Position 1*:
Position 2:

College Experience (Include College Name/Division/Years Played):
Club Experience (Include Team/League Division/Years Played):

Mens $50 fee to complete registration.
Registration on a first come basis.
Registration will be closed when tryout is full.
All registrations without pre payment will not be processed.
All completed registrations will receive confirmation via email 48 hours before the tryout.

Payment: Mens $50 combine fee
After submitting this form, you will be asked to complete payment.

If you have already completed this form, but did not complete the payment, you can pay here, but you MUST fill out this form if you have not done so already.