Player Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Password *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *Phone *Years of ExperienceUpload Photo for ID Card Click or drag a file to this area to upload. (If possible, please name the uploaded file your full name. Ex: john_smith_photo.jpg)Team InformationTeam Name**If you are not signing up for a particular team, please enter FREE AGENTDivisionTeam RepPayment OptionsTeam FeePlease enter your portion of the Team Fee.Player ID CardYes, I need an ID Card - $40Total$ 0.00Player AgreementI acknowledge that I assume the risk for any personal injury I sustain before, during, or after each game and/or practice, and I will not hold liable my team, Club, West Texas Men's Soccer Association, the City of Lubbock, North Texas State Soccer Association, the United States Amateur Association, or the United States Soccer Federation for any damages I may suffer before, during or after any such game and/or practice. I further agree to indemnify and hold harmless my team, Club, West Texas Men's Soccer Association, the City of Lubbock, North Texas State Soccer Association, the United States Amateur Association, and the United States Soccer Federation for any damages I may in any way cause which occurs before, during or after any such game and/or practice.CommentSubmit
