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Personal Information
First Name: *
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Middle Name:
Last Name: *
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Grad Year: *
2020
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Date of Birth: *
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Zip: *
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Mobile/Alt. Phone: *
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Phone: *
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Email: *
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Facebook:
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I live with: *
Both Parents
Father
Mother
Grandparent(s)
Other
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Parent/Guardian Contact Information
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
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Child
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Husband
Club Director
Step Sister
Step Brother
Athletic Director
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First Name: *
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Last Name: *
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Mobile Phone: *
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Phone:
Email: *
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*Invalid email address
College Name:
Employer:
Occupation:
Work Phone:
Ext:
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
First Name:
Last Name:
Mobile Phone:
Phone:
Email:
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College Name:
Employer:
Occupation:
Work Phone:
Ext:
Athletic Information
Height: *
ft.
in.
*Required
Weight: *
*Required
Jersey Number: *
*Required
Offensive Position:
ATH
OL
QB
RB
TE
WR
Defensive Position:
ATH
CB
DB
DE
DT
LB
S
Special Teams:
K
LS
P
PR/KR
Bench:
Squat:
Power Clean:
Vertical Jump:
ft.
in.
40 Time:
100 Time:
Injuries:
Athletic Honors:
School & Academic Information
School Name: *
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School Address 1: *
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School City: *
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School State: *
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AK
AR
AS
AZ
CA
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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
School Zip: *
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Mascot:
Colors:
Phone:
Fax:
Website:
GPA: *
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SAT:
ACT:
Registered with Clearinghouse: *
Yes
No
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Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Coach Information
Your Coach:
Select your head coach
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Title: *
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First Name: *
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Last Name: *
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Mobile Phone:
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Email:
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