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Personal Information
Prospect Code:
First Name: *
*Required
Last Name: *
*Required
Preferred Name:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
*Required
Twitter:
Instagram:
Facebook:
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Email: *
*Required
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Address: *
*Required
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
*Required
Zip: *
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Cell Phone: *
*Required
Home Phone:
Parent/Guardian Contact Information
First Name: *
*Required
Last Name: *
*Required
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
*Required
Email:
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Phone:
Cell Phone: *
*Required
Occupation:
Employer:
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
Email:
*Invalid email address
Phone:
Cell Phone:
Occupation:
Employer:
Athletic Information
Position (1,2,3,4,5): *
*Required
Height: *
ft.
in.
*Required
Points Per Game: *
*Required
Rebounds Per Game: *
*Required
Assists Per Game:
Honors:
Academic Information
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
*Required
Registered with Clearinghouse: *
Yes
No
*Required
GPA: *
*Required
*Invalid GPA
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
ACT:
SAT:
Intended Major:
School Information
School Name: *
Clear
*Required
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 Phone:
School Website:
Coach's Name: *
*Required
Coach's Email:
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Coach's Cell: *
*Required
Guidance Counselor's Name:
Guidance Counselor's Phone:
Guidance Counselor's Email:
*Invalid email address
Guidance Counselor's Fax:
AAU/ Club Team Information
AAU/ Club Team Name: *
Clear
*Required
List Of Tournaments Your Team Will Be Playing In During The Upcoming Spring/ Summer Season:
AAU/ Club Coach's Name:
AAU/ Club Coach's Cell: *
*Required