First, are you answering for yourself or for your child?

First, are you answering for yourself or for your child?*

For myself

For my child

What age group do they fall into?

What age group do they fall into?*

18 months to 6 years old

6 to 8 years old

9 to 12 years old

13 to 15 years old

16+ years old

What is their level of experience playing futsal/soccer?

What is their level of experience playing futsal/soccer?*

Newbie - no prior experience

Beginner - played some before

Intermediate - play often recreationally or in school

Advanced - play regularly at a competitive level

What futsal programs are you interested in learning more about for your player?

Select all that apply

What futsal programs are you interested in learning more about?*

Classes to develop skills and technique

Leagues for game experience

Camps for skill development and fun!

How many members of their community are they hoping to play with?

Select all that apply

How many members of their community are they hoping to play with?*

They are looking to join individually

They have 1-2 friends/teammates that may also be interested

They have a group of 5-7+ players that want to play together

Do you prefer they play on a weekday or weekend?

Do you prefer they play on a weekday or weekend?*

Weekday

Weekend

No preference

What age group do you fall into?

What age group do you fall into?*

Under 18

Over 18

What would you consider your level of experience to be playing futsal/soccer?

What would you consider your level of experience to be playing futsal/soccer?*

Newbie - no prior experience

Beginner - played some before

Intermediate - play often recreationally or in school

Advanced - play regularly at a competitive level

What best describes what you're looking for?

Select all that apply

What best describes what you're looking for?*

I want to take classes to develop my skills and get in a fun workout

I'm interested in playing competitively in a league

I'm interested in playing casually in a league (I don't necessarily care much about game outcomes)

Do you prefer playing on a weekday or weekend?

Do you prefer playing on a weekday or weekend?*

Weekday

Weekend

No preference

Do you have a group put together to play with?

Do you have a group put together to play with?*

I am looking to join as an individual and socialize/make friends

I have 1-2 friends/teammates that want to play together

I have a group of 5-7+ players that want to play together

Do you have a preference on playing coed or with the same gender?

Do you have a preference on playing with co-ed teams, or with teams of the same gender?*

Coed

Same gender

I have no preference

Any Additional Notes To Add?

Lastly, please provide us with your information so we can follow up with our recommendations!

Player's First Name*

Player's Last Name*

Parent/Guardian's Name

Phone*

e.g. (###) ###-####

Email*

e.g. email@domain.com

Player's Gender*

Male

Female

Non-binary

Gender not listed

Player's Birthdate*

Preferred Location*

Rose City Futsal East - NE Portland

Rose City Futsal West - Tigard

Either Location