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Personal Information
First Name: *
Last Name: *
Middle Name:
Date of Birth: *
Email: *
Address: *
City: *
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Parent/Guardian Contact Information
First Name: *
Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
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Friend
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Mobile Phone:
Home Phone: *
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Email:
Athletic Information
Club Team Name: *
Position: *
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: *
Last Name: *
Email: *
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Work Phone: *
Home Phone:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class: *
High School
2-Year College
4-Year College
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Class Rank:
Registered with Clearinghouse: *
Yes
No
Grad Year: *
2020
2021
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2023
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2025
2026
2027
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2031
2032
School Information
School Name: *
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Address1: *
Address2:
City: *
State:
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DE
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ME
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MA
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MS
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NE
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OK
OR
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RI
SC
SD
TN
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AE
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DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
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YT
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VI
Zip:
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Guidance Counselor's First Name:
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Guidance Counselor's Email:
Guidance Counselor's Fax:
Guidance Counselor's Phone: