Name:*
E-mail:*
Address:*
Phone:*
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Height:*
Weight:*
Birthdate:*
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Offensive Positions:
Defensive Positions:
Special Teams:
Jersey Size:*
Top 3 Jersey Numbers (Not Guaranteed):
Pants Size:*
Playing History:*
Do you work Saturdays?:
Do you work week nights?:
Do you have medical insurance?:
Do you coach youth/HS football?:
Do you own a car?:
Are you able to attend practice once a week in the evening in Woodbridge VA area?:
Are you able to attend all games including away games?:
Are you able to meet the financial obligations by the start of the season? ($200):