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Personal Information
Prospect Code:
First Name: *
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Email: *
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Preferred Name:
Address: *
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Last Name: *
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City: *
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Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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State: *
AL
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DE
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IL
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MD
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OR
PA
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UN
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VI
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Phone: *
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Zip:
Mobile/Alt. Phone:
I live with:
Mother
Father
Both Parents
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Facebook:
My Parents Are:
Married
Divorced
Other
Facebook Email:
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Twitter:
Mother Contact Information
First Name:
Email:
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Last Name:
Mobile Phone:
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Mother
*Required
Phone:
Father Contact Information
First Name:
Email:
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Last Name:
Mobile Phone:
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Father
*Required
Phone:
Parent/Guardian Contact Information
First Name:
Email:
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Last Name:
Mobile Phone:
Relationship:
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Phone:
Athletic Information
Height: *
ft.
in.
*Required
Preferred Position: *
WR
QB
ATH
TE
OT
OG
C
RB
FB
S
CB
LB
DE
DT
K
P
LS
*Required
Weight: *
*Required
Offensive Position:
Injuries:
Defensive Position:
Jersey Number:
Bench:
40 Time:
Squat:
100 Time:
Academic Information
GPA:
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Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
ACT:
Class Rank:
SAT:
Registered with Clearinghouse: *
Yes
No
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Intended Major:
Clearing House #:
School Information
School Name: *
Clear
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School Address 1:
School Address 2:
Website:
School City:
Phone:
School State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Fax:
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School Coach Information
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Email:
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Your Coach:
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Mobile Phone:
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