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                                                                      InterGoal Sports Agency INC
                                                                                                                     2011/2012 TRYOUT






College Soccer Experience




College attended: _________________________________________ Head Coach_______________________





Coach Office Phone Number ________________________________ email address_____________________                     





Final Year of Eligibility (provide year)  ______________________________________
Participation in this event could impact collegiate eligibility If you have eligibility remaining, consult with your coach or athletic director)
                                                                                                                 



College Stats/Honours/Records:_________________________________________________



_____________________________________________________________________________




Pro Experience:






Payment Information:




Upon qualifying for the Tryout please refer to "Registration" section in our website www.intergoalsports.com
Fill out the form and provide your banking or credit card info to submit the payment

___________________________________________________________________________________________________________

www.intergoalsports.com
e-mail soccertalent@intergoalsports.com