The information below is required for all Scottish United Soccer Club players. Team managers will be provided the database of information for their respective team, and a binder should be kept with the team medical kit.

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Emergency Contact *
Emergency Contact
Address
Address
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
Family Physician
Family Physician
Physician Phone Number
Physician Phone Number
Glasses / Contact Lenses? *