Player application for a Soccer Agent

Are you ready to take the next step toward your Professional Career as a Soccer player?
Fill out the form below!
Fields with an asterisk  *  are mandatory.

*  First Name:
*  Last Name:
*  Country:
*  Address:
*  City:
    State:
    Zip:
*  Tel:
*  Your Email Address:
*  DOB:
*  Sex:

*  Citizenship:
*  Height: Height in meters, e.g. 1.70m
*  Weight: Weight in kilograms, e.g. 65kg
*  Position:
*  Alternate Position:
*  Preferred Foot:

    Current Club:
    Current League:
    Previous Club:
    Previous Club:
    Previous Club:
*  Player Level:
*  Player Status:

    Transfer Fee:
    Special Honors:
    International Caps:
*  What countries are you interested in playing in?:
*  When are you available for trial?:
*  Enter the security code shown:

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