Victoria Highlanders FC PDL Trials

Step 1. Player contact information

*First Name:
*Last Name:
*Address:
Address Line 2:
*City:
*Province:
*Postal Code:

*Evening Phone:
Mobile Phone:
*Player's Birth Date:
*Email address:
*Medical Insurance No:

Step 2. Tryout/personal information
* Preferred position:	* Kicking foot:	Left Right Both
* Height:	* Weight:	(lbs.)
* Are you a Canadian Citizen? Yes No
* Do you have a passport? Yes No
* Anything preventing travel in US? Yes No
* Are you permitted to work in Canada? Yes No
* Do you have a work VISA (foreign players only)? n/a Yes No
* Do you have accomodations in Victoria? Yes No
* Do you have employment in Victoria? Yes No

Step 3. Player experience/Additional information

*2009 Team:
*2008 Team:

*Coaching Reference Email:

* Professional soccer experience:
Please list all professional playing experience. If you have not had any, please type "None." (Limit to 100 words)

* College soccer experience:
Please include the college name, division & years played. If you have not had any, please type "None." (Limit to 100 words)

* Please list any major injuries suffered in the last five years and the years in which they occurred.
(If you have not had any major injuries, please type "None." (Limit to 100 words)

Contact Information

Mailing Address:
Victoria Highlanders FC
#108 - 1913 Sooke Road
Victoria, BC
V9B 1V9

Office Telephone: 250-590-8432

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