Coed Player Interest Form

Please complete this form to receive more information about joining an HWSA coed team. All entries except the email address are optional, but the more information you provide, the better. The data you supply will be treated confidentially; however, please be aware that this is not a secure form.

Please provide as much information as you can.

I am:
Female
Male

Pick an age range:

How would you rate your soccer skills?

If you have a preference for a particular position, what might that be?

Name:

How may we contact you?
Provide e-mail address and phone number (phone number optional).
If you'd prefer, give us your mailing address in the comment area below:

E-mail address (required):

Telephone (with area code):
This is my daytime phone number
This is my nightime phone number

Do you prefer games on Monday or Sunday nights?
Monday
Sunday
No Preference, Monday or Sunday

Area of town (e.g., Sugar Land, Katy, inside loop, etc.):

Enter any comments or requests here:

Would you like to receive Keeper Notes, the soccer e-newsletter for South Texas? Yes No

Coed Player Interest Form

Please complete this form to receive more information about joining an HWSA coed team. All entries except the email address are optional, but the more information you provide, the better. The data you supply will be treated confidentially; however, please be aware that this is not a secure form.

Thank you!