New Players Wanted

Open Tryouts for the Fall 2018 season are now scheduled. Click here for more information..

If you’d like to contact a coach to request a private tryout, please fill out the New Player Inquiry form below.

New Player Inquiry

Use this form if you would like to play for Lighthouse Soccer Club, but you do not have a coach or an assigned team. If you already have a coach and a team, please Click Here.

After submitting this form, your information will be forwarded to an available coach who will contact you to discuss if there are positions on their team open and to schedule a try out if there is an available position.

Player's Name:*
First Last
Player's Date Of Birth:*
MM
DD
YYYY
Player's Year of Birth*
Please re-select the player's year of birth.
Player's Gender:*
- Female
- Male
Player's School:*
How Many Years Of Soccer Experience Does This Player Have?*
How Many Years Of Travel Soccer Experience Does This Player Have?*
Does This Player Have Any Medical Issues?*
- No
- Yes
What Medical Issues Does This Player Have:*
Household Information
Parent / Guardian Name*
First Last
Household Address*
Street Address Address Line 2 City State ZIP Code
Parent / Guardian Primary Phone*
Parent / Guardian Secondary Phone*
Parent / Guardian Email*
Confirmation
Terms*
- I, the parent/guardian of the registrant, a minor, or adult registrant of legal age, agree that I and the registrant will abide by the rules of the EPYSA, it’s affiliated organizations and sponsors. Recognizing the possibility of the physical injury associated with soccer and in consideration for the EPYSA accepting the registrant for its soccer programs and activities (the “Programs”). I herby release, discharge and/or otherwise indemnify the EPYSA, its affiliated organizations, and sponsors, their employees and associated personnel, including the owners of the fields and facilities utilized for the Programs, against any claim by on or behalf of the registrant as a result of the registrant’s participation in the Programs, and/or being transported to or from the same, which transportation I herby authorized.

New Player Inquiry

Household Information

Confirmation