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General
First Name: *
Last Name: *
Preferred Name:
Graduation Year: *
Date of Birth: *
Email: *
Home Address1: *
Home Address2:
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: *
Cell Phone Number: *
Twitter Username:
Club/AAU Team Name: *
Clear
Instagram Name :
Position 1:
Height: *
ft.
in.
Sibling(s) / Name(s) and Age(s) :
Parent/Guardian Contact Information - Parent 1
Parent/Guardian1 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
Occupation:
Parent Guardian1 Phone Number:
Parent/Guardian1 Email Address:
Parent Marital Status :
Parent/Guardian Contact Information - Parent 2
Parent/Guardian2 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
Occupation:
Parent/Guardian2 Phone Number:
Parent/Guardian2 Email Address:
High School
School Name:
Clear
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 Country:
GPA:
ACT:
SAT :
Athletic
Player Position :
YouTube/Film Link :
High School Coach Name :
High School Coach Phone Number:
AAU Coach Name :
AAU Coach Phone Number :
Other Coach Name :
Other Coach Cell :