Roots NXT Player Application
Please fill out the following information to apply for the Roots NXT Circuit teams for 17U-15U. If we are interested in your application we will reach out to schedule a family & player interview. 
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Player Name *
First and last name
Parent/Guardian Name *
First and last name
Contact Email *
Contact Phone number *
Players Date of Birth *
Players 2023-2024 Grade *
Players School *
Players 2022-2023 Club Team *
Were you on Varsity, JV, C-Squad or 8th Grade last season? *
Which Team Are You Applying For? *
Required
Please list significant stats & awards from 2022-2023 MS/HS season *
High School Coaches Email & Phone Number *
Tell us why you believe you deserve an opportunity to play for our SSR/NXT program *
Link to game film or highlight tape
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