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Personal Information
First Name: *
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Middle Name: *
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Last Name: *
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Date of Birth: *
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Email: *
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Cell Phone: *
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Address: *
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City: *
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Country: *
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State: *
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Zip: *
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Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
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Aunt
Friend
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Other
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Step Sister
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Athletic Director
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Email: *
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Cell Phone: *
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College Attended:
Athletic Information
Primary Position: *
*Required
Height: *
ft.
in.
*Required
Secondary Position:
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
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
TN
TX
UT
VT
VA
WA
WV
WI
WY
Youth National Team:
U-20 National Team
U-18 National Team
U-17 National Team
U-15 National Team
U-14 NDP
ECNL Player Development Program:
Regional
National
Regional ODP:
n/a
Region I
Region II
Region III
Region IV
Club Team Information
Team Name: *
Clear
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Club Jersey Number: *
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City: *
*Required
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
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Zip Code: *
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Country:
ECNL Team: *
Yes
No
*Required
Club Team Coach Information
Club Coach: *
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Club Coach Email: *
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*Invalid email address
Club Coach Cell: *
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Email: *
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*Invalid email address
School Information
School Name: *
Clear
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Country: *
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Address: *
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City: *
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School Jersey Number: *
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Zip: *
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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
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Registrar's Name: *
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Registrar's Phone: *
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Registrar's Email: *
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Registrar's Fax:
School Coach Name: *
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Cell Phone: *
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School Coach Email: *
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*Invalid email address
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
GPA: *
*Required
*Invalid GPA
SAT:
SAT Math:
SAT Verbal:
ACT:
Class Rank:
NCAA Eligibility Center ID:
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference: