Wales Masters Exiles Registration

First Names *

Surname *

Street Address *

Apartment, suite, etc

City

County

Postal Code

Country

Date of Birth *

Birthplace *

Gender

Email Address (parents or guardian's if aged 17 or under) *

Phone Number (parents or guardian's if aged 17 or under) *

Last year's club and age group (if applicable) *

Preferred Playing Position *

Player profile picture *

No file chosen

Please upload a profile picture of yourself, preferably in the shirt or leisurewear of your registered club. It is preferred that the name of the file uploaded is the name of the player and club.