Express Interest for Fall 2026

Parents and guardians: fill out this form to let Leeward Select coaches know your player is interested in trying out. All communication will go to your email address, not your child's.

Parent / Guardian Info

First name

Last name

Email address All Leeward Select emails will be sent here, not to your child.

Phone number

Player Info

Player first name

Player last name

Date of birth Used to determine the correct age division.

Gender

Interested division

Team gender

Soccer Experience

Current team

Current coach

Years playing soccer

Primary position

Secondary position

Preferred foot

Self-assessed skill level

I am the parent or legal guardian of the player named above and I consent to the collection and use of this information as described in the Leeward Select Privacy Policy.

I understand all communications about this program will be sent to my parent email address above, not directly to my child.