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Register for a Tryout or Program
  Harford Kicks Soccer Club is always looking for talented players in the Harford County Area.
Please complete the information below to register for a Team Tryout or a Harford Kicks Program. 
See our Age Group Finder on the Home Page to determine your child's age group.

After submitting this form, someone from the the club will contact you. * = Required Fields
 
  *1) Player's Name:
  *2) Birth Date:
  *3) Gender:     Male       Female
  4) Mother's Name:
  5) Father's Name:
  6) Street Address:
        City: State: Zip:
  *7) Home Phone Number:
  8) Cell Phone Number:
  *9) E-mail Address:
  *10) What team or program is the player interested in? (Select One)
 
 Boys Teams  Girls Teams
U-9 Fever - Keller  (01/02) U-11 Kicks - McGrath (99/00)
U-11 Kicks - Opitz (99/00) U-14 Rush - Iachini (96/97)
  U-17 Kicks - Wiatrowski (93/94)
  U-18 Herricanes - Barry (High School)
   11a) What school does the player attend?
   11b) What grade is the player in?
  12) What is the name of the last team the player played for?
  13) Is the player currently trying out for any other teams? If so, please list:
  14) Does the player participate in any other sports besides soccer? If so, please list:
  15) Is there a particular position the player would like to play?
  16) Are there any physical limitations or medical conditions that we should be aware of? If so, please list:
  17) Select a volunteer position that the player's parent(s) might be interested in:
  18) Any Additional Comments:

                                                      
 

© Harford Kicks Soccer Club, Inc. All Rights Reserved.
For more information, e-mail us at: info@harfordkicks.org