Player Interest Form

New Player Interest Form

If you are new to Chesapeake United, or a current player looking to make a change, please complete this form and a member of our staff will contact you in regard to a team or program for your player. Welcome to Chesapeake United!

Email Address*
Phone Number*
PLAYER First Name*
PLAYER Last Name*
PARENT First Name*
PARENT Last Name*
Gender*
Birth Year*
Number of Years Playing Experience*
Current Team Name & League (Example: CUSC 2010B Black, NPL D1)*
What Club or Program are you currently in? Please list Club Name, City Rec, or N/A if not currently playing*
I am interested in the following program:*
Select the program you are interested in for your player and our staff will contact you with more information. Competitive: Highest level of play, ages 8 to 18 Advanced: Recreation Plus, second level of play, ages 8 to 18 Academy: Prep program for beginner and intermediate players, ages 6 and 7 First Start: Beginner Program, ages 3 to 5 More program information is available on the website under the “Soccer” drop down menu.
Preferred Position(s)*
- Select All
- Forward
- Midfielder
- Defender
- Goalkeeper
- All Except Goalkeeper
- All Including Goalkeeper
Siblings currently playing at Chesapeake United?
Additional Comments

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