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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
Date of Birth: *
Address: *
City: *
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
Zip:
Country:
Phone: *
Mobile/Alt. Phone:
Hobbies:
Parent/Guardian Contact Information
First Name: *
Last Name: *
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: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Height: *
ft.
in.
Weight: *
State ODP:
n/a
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
OK
VT
TN
NJ
OH
VA
WA
MT
OR
MO
NE
TX
NY
ND
SC
WY
NV
NC
UT
NH
WV
WI
RI
NM
PA
Club Jersey #: *
Primary Position:
Secondary Position:
Academic Information
Unweighted GPA: *
SAT Math:
SAT Verbal:
SAT:
ACT:
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Class Rank:
Registered with Clearinghouse: *
Yes
No
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
School Name: *
Clear
School Address 1: *
School Address 2:
School City: *
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
School Zip:
School Country:
Phone:
Fax:
Mascot:
Colors:
Website:
P First Name:
P Last Name:
P Email:
P Phone:
P Fax:
R First Name:
R Last Name:
R Email:
Guidance Counselor's First Name:
R Phone:
R Fax:
Guidance Counselor's Email:
Guidance Counselor's Last Name:
Guidance Counselor's Phone:
Guidance Counselor's Fax:
Club Team Information
Your Coach:
Select your head coach
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First Name: *
Last Name: *
Email: *
Title:
Work Phone: *
Mobile Phone:
School Coach Information
Your Coach:
Select your head coach
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First Name: *
Last Name: *
Email:
Title: *
Work Phone:
Mobile Phone:
Team Information
Team Name: *
Clear
District:
Team Address 1: *
Team Address 2:
Team City: *
Team 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
Team Zip: *
Team Country:
Phone: *
Fax:
Mascot:
Colors:
Website:
Parent/Guardian Contact Information
First Name: *
Last Name: *
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: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext: