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Personal Information
First Name: *
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Last Name: *
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Middle Name:
Date of Birth: *
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Email: *
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Address: *
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City: *
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State:
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Phone: *
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Mobile/Alt. Phone:
Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
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Coach
Other
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Child
Guidance Counselor
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Cousin
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Club Director
Step Sister
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Athletic Director
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Mobile Phone:
Home Phone: *
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Work Phone:
Email:
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Athletic Information
Club Team Name: *
*Required
Position: *
*Required
Jersey #:
Tournament 1:
Height:
ft.
in.
Weight:
Tournament 2:
Tournament 3:
Club Coach Information
Title:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
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Last Name: *
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Email: *
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Mobile/Cell Phone:
Work Phone: *
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Home Phone:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
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Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
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Class Rank:
Registered with Clearinghouse: *
Yes
No
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Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
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School Information
School Name: *
Clear
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Address1: *
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Address2:
City: *
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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
Zip:
Country:
Phone:
Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
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Guidance Counselor's Fax:
Guidance Counselor's Phone: