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MVA Player Document Collection
2023-2024
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Player Information
Player Full Name
*
Name Player likes to be called (if different from above)
Date of Birth
*
Player Mobile Phone
Player text messages allowed?
*
Yes
No
Player Email
Gender
*
Boys
Girls
Player Graduation Year
*
Please select...
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
High School Name (if in High School)
Player Address
*
Please select...
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Where was player born?
*
Please select...
United States of America
Canada
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cabo Verde
Cambodia
Cameroon
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Croatia
Cuba
Cyprus
Czechia (Czech Republic)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. "Swaziland")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Has player obtained ITC from US Soccer?
*
Yes
No
Year player moved to the US
*
Player's age when moved to US
*
Parent 1 Information
Parent 1 Name
*
Parent 1 Email
*
Parent 1 Mobile Phone
*
Parent 1 text messages allowed?
*
Yes
No
Parent 1 Home Phone
Parent 2 Information
Parent 2 Name
Parent 2 Email
Parent 2 Mobile Phone
Parent 2 text messages allowed?
*
Yes
No
Parent 2 Home Phone
Emergency Contact Information (Other than a Parent/Guardian)
Emergency Contact Name
*
Emergency Contact Relationship to Player
Emergency Contact Phone 1
*
Emergency Contact Phone 2
Team Information
Team Birth Year
*
Please select...
Premier Teams
Regional Teams
Rise Academy
Team Selection
*
Please select...
Primary Position Played
*
Secondary Position Played
*
Other Player Information (If an ODP Player, please list what level.)
Jersey # First Choice
*
Please select...
0
1
2
3
4
5
6
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9
10
11
12
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15
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23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Jersey # Second Choice
*
Please select...
0
1
2
3
4
5
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45
46
47
48
49
50
Jersey # Third Choice
*
Please select...
0
1
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4
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8
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49
50
Jersey # Fourth Choice
*
Please select...
0
1
2
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49
50
Jersey # Fifth Choice
*
Please select...
0
1
2
3
4
5
6
7
8
9
10
11
12
13
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15
16
17
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28
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30
31
32
33
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35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Medical Information
Medical Conditions
Allergies
Physician Name
*
Physician Phone
*
Insurance Company
*
Insurance Policy Number
*
After clicking SUBMIT below, your player documents will be generated and you'll be given the option to complete the documents immediately or have them sent to your email address for later completion.
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terms & conditions.
*
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