Date of Birth: *

Please enter your date of birth. Example: 5/7/94

Weight:

Height:

Please estimate!

Years playing soccer? *
123456789 more

Club/Team: *

Please let us know what Club you play for and your team.

Coach for this season *

Last season’s Club/Team: *

Position:

Please let us know what position you play the most.

Why do you like playing this position?

What is your earliest soccer memory? *

Who else likes soccer in your family? *

What do you love about soccer? *

What’s your most memorable soccer moment? *

This could be when your team won a championship or game, or a more personal moment when you scored a goal or made a great assist or saved a goal...or even when you watched a professional game.

Do you want to grow up to be a professional soccer player?
Yes
No

What have you learned from being on a team? *

How would you describe yourself as a soccer player?
Agressive Dedicated Fast Want to win Team Oriented

Please just pick the one that best describes you!

What are you goals for this 2010/2011 season? *

What skills do you want to work on? *

Who (coach, family member, etc) has helped you become a great soccer player?

Who is your favorite professional soccer team? *

Team or Country

Who is your favorite soccer player? *

Have you been to a LA Galaxy Game
Yes
No

Parental approval *
Yes
No
Please check this box if you are 13 years old or under.

Are you over the age of 13? *
Yes
No

To contact you, please give provide your email: *

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