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de Boot Room Player Agency Registration

Please use this form to register for de Boot Room Player Agency.

To ensure that we get a realistic idea of your playing ability, please be very honest with all your answers. The questions are not intended to weed out players according to their abilities, but rather to successfully place them with appropriate universities and clubs according to your goals and abilities.

*Indicates a required field.

Personal Information
*First Name:
*Last Name:
*Address Line 1:
*Address Line 2:
*Phone:
*Contact Email:
*Date of Birth:
*Citizenship:
Playing Experience
Current Club:
Previous Club:
Previous Club 2:
Current League:
Player Status:
(please pick one)
Pro
Amateur
College
Youth (U18)

*Position:
Personal Playing Goals:
Do you wish to use DBR PLAYER AGENCY to help you to obtain a scholarship with an American university?
Yes
No

Do you wish to use DBR PLAYER AGENCY to help you to become a professional soccer player?
Yes
No

Do you wish to use DBR PLAYER AGENCY to help you find a team to play for in a foreign country?
Yes
No

Are you interested in becoming a signed player with a foreign club?
Yes
No

Are you interested in DBR PLAYER AGENCY's assistance in arranging a player trial?
Yes
No

Are you interested in representation and/or assistance with:
Foreign Clubs
Domestic Clubs
Both

For how long would you be willing to play in a foreign country?
6 months
6 months-1 year
> 1 year

Please include your CV here:

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