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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
Home Address: *
City: *
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:
Home Phone: *
Cell Phone:
Date of Birth: *
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
Cell Phone:
Email:
College Attended:
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
Mobile Phone:
Email:
College Attended:
Occupation:
Employer:
Athletic Information
Height: *
ft.
in.
Dominant Hand:
Position 1:
Position 2:
Club Jersey #:
Reach:
Jump Touch:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Class Rank:
High School Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
Intended Major:
High School Information
School Name: *
Clear
School Address 1: *
School Address 2:
City: *
Zip Code:
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
Phone:
Country:
Website:
Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
High School Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
Last Name: *
Title: *
Email:
Mobile Phone:
Work Phone:
Club Information
Club Team Name: *
Clear
Jersey #:
Club Address : *
Club Address:
City: *
Zip Code: *
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
Phone: *
Country:
Website:
Club Email:
Club Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
Last Name: *
Email: *
Mobile Phone:
Work Phone: *