Oahu Academy Assessment Interest

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Student-Athlete's Name *

First

Last

Student-Athlete's Date of Birth *

MM/DD/YYYY

Student-Athlete Grade *

If between grades, list the grade the player will be in at the start of the next school year.

Current Club and Team *

Years of Competitive Soccer Experience *

of 1 and

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Allergies *

Medications *

Assessment Day Attending (Please check at least 1 day; arrive early at Kanewai to find parking) *