Interested in trying out?

Please fill out the pre-registration form below. Once you are pre-registered, someone will be in contact with you.

No walk-ins accepted.

If you have any questions, don’t hesitate to email us or reach us on social media.

Pre-Registration Form

Full Name

Email

Phone Number

Date of Birth * required

Emergency Contact Name

Emergency Contact Phone Number

Preferred Position(s) * Required

Goalkeeper

Outside Back/Wing back

Center Back

Defensive Midfielder

Attacking Midfielder

Winger

Striker/Forward

Do you give permission for photos/videos to be taken and used for promotion? *

Yes

No

Do you consent to participate in physical tryouts and release Five Rivers of liability? *

Yes

No

Past Playing Experience (Please list any previous or current teams / leagues)

How did you hear about us?

Thanks for submitting!

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