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Personal Information
Prospect Code:
First Name: *
Middle Name:
Last Name: *
Date of Birth: *
Preferred Name:
Gender: *
M
F
Phone: *
Mobile/Alt. Phone:
Email: *
Address: *
City: *
Country:
Zip:
Instagram:
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
Twitter:
Facebook Email:
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:
Work Phone:
Email:
Employer:
Occupation:
College Name:
Most Influential Person in Your Life:
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:
Work Phone:
Email:
Employer:
Occupation:
College Name:
Academic Information
School Name: *
Clear
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
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
Institution: *
High School
2-Year College
4-Year College
Post-High School, Non-College
School Address 1: *
School Address 2:
School City: *
School Country:
School Zip:
Phone:
Fax:
Website:
GPA:
Class Rank:
Intended Major: *
Position Coach 1 Name:
Position Coach 1 Phone:
Position Coach 1 Email:
Position Coach 2 Name:
Position Coach 2 Phone:
Position Coach 2 Email:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Phone:
Guidance Counselor's Email:
ACT:
SAT:
SAT Math:
SAT Verbal:
1st College Preference:
2nd College Preference:
3rd College Preference:
ToEFL Score:
Team Information
Team Name:
Clear
Team Address 1:
Team Address 2:
Team Country:
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:
Website:
Phone:
Fax:
District:
Colors:
Your Coach:
Select your head coach
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Coach's First Name:
Coach's Last Name:
Mobile Phone:
Work Phone:
Email:
Athletic Information
Height: *
ft.
in.
Weight: *
Track Event 1:
Track Event 1 (Best Time):
Track Event 2:
Track Event 2 (Best Time):
Track Event 3:
Track Event 3 (Best Time):
Track Event 4:
Track Event 4 (Best Time):
Track Event 5:
Track Event 5 (Best Time):
Field Event 1:
Field Event 1 (Best Mark):
Field Event 2:
Field Event 2 (Best Mark):
Field Event 3:
Field Event 3 (Best Mark):
Field Event 4:
Field Event 4 (Best Mark):
Field Event 5:
Field Event 5 (Best Mark):
# Years Competing in Cross Country:
# Years Competing in Track:
List Athletic Honors and Awards:
State and National Meet Performances:
Other Sports?:
List History of Injuries: