Pittsburgh Football Club Select

Try Out Form

Date of Birth______/______/______

Player’s Name

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(Last name, first, middle initial)

Address

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City____________________________State____________Zip_____________

Last six digits of Players Social Security Number

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Parent

Names Mother/ Father

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Phone (home)

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Phone (cell)

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Email (home)

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Previous Classic Clubs Played for__________________________________

Current or past Rec Club_________________________________________

Club Use Only

Try Out #__________________ Color____________

Call back: (circle one) YES NO

Comments:______________________________________________________

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