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Personal Information
Prospect Code:
First Name: *
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Last Name: *
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Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
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2030
2031
2032
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Middle Name:
Preferred Name:
Attended Elite College Prep Camp?:
Yes
No
Email: *
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*Invalid email address
Attended Elite Winter ID camp?:
Yes
No
Address: *
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City: *
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State:
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AR
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AZ
CA
CO
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DE
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HI
ID
IL
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IA
KS
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ME
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MI
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MS
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TN
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NU
ON
PE
QC
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UN
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VI
Zip:
Country:
Phone: *
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Mobile/Alt. Phone:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Parent/Guardian Contact Information
First Name: *
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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
Home Phone: *
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Mobile Phone:
Email:
*Invalid email address
College Attended:
Occupation:
Employer:
Work Phone:
Extension:
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
Home Phone: *
*Required
Mobile Phone:
Email:
*Invalid email address
College Attended:
Occupation:
Employer:
Work Phone:
Extension:
Athletic Information
Height: *
ft.
in.
*Required
Weight: *
*Required
Position:
GK
D
AM
FWD
DM
WD
Jersey #:
Mile Time:
Dominant Foot:
Left
Right
Academic Information
SAT:
ACT:
Class Rank:
GPA: *
*Required
*Invalid GPA
Registered with Eligibility Center: *
Yes
No
*Required
Intended Major:
Club Team
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
*Required
Mobile/Cell Phone:
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
Email: *
*Required
*Invalid email address
League Name: *
Clear
*Required