Chicago Fire: Tickets: Youth Tryout Signup

Chicago Fire Premier PDL and Super 20 Tryouts

To register to try out for the Chicago Fire Premier PDL and Super 20 teams, please fill out the form below. Please register each player on a separate form.

All fields marked with an * are required.

Step 1. Pricing
	# of Players	Total
Tryout fee: $75	1	$
(+ $5 processing fee)		$
TOTAL:		$

Step 2. Player Information *The information in Step 2 applies to the player.
*Team you are trying out for: PDL U20

*First Name:	*Last Name:
*Birth Date:	*Gender:	Male Female
*Emergency Contact Name:	*Emergency Contact Phone:
*University Name:	*Year in School:
*Coach's Name:	*Coach's Phone:
*Position:
University Honors:	Club Team Experience:
*How did you hear about the program:	If other, please specify:

Step 3. Billing, Payment & Contact Info: *The information in this step applies to the credit card holder providing the tryout payment.


Billing Info
*First Name:
*Last Name:
Organization:
*Address:
Address Line 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country:


Payment Info
*Name on Credit Card:
*Credit Card Number:
*Credit Card Expiration:
*Credit Card Type:


Contact Info
*Evening Phone:
Mobile Phone:
*Birth Date:
*E-mail Address:
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I hereby authorize myself to try out for the Chicago Fire Premier and Chicago Fire Super 20 teams and agree to hold Fire Premier FC and Chicago Fire Soccer, their employees and volunteers harmless in the event of an accident at the tryouts, which results in an injury to myself.

I have read and agree to this statement.

This submission will take place on a secure server. More information ¬