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General Information
First Name: *
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Contact Number: *
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Last Name: *
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Cell Phone Number: *
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Preferred Name:
Date of Birth: *
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Email Address:
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Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
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2030
2031
2032
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Home Address 1:
Sibling(s) / Name(s) and Age(s):
Home Address 2:
City:
State:
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DE
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MB
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Zip:
Academic Information
High School Name:
Clear
GPA: *
*Required
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School Address 1:
SAT Math:
School Address 2:
SAT Critical Reading:
School City:
SAT Writing:
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
SAT Total:
School Zip:
ACT:
School Country:
Academic Honors:
School Phone Number:
Other College Choices:
Class Rank:
Intended Major:
Athletic Information
Your Coach:
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Position:
Goalkeeper
Left Back
Right Back
Center Back
Left Midfield
Right Midfield
Center Midfield
Forward
High School Coach Name:
Jersey #:
High School Coach Phone Number:
Height: *
ft.
in.
*Required
High School Coach Email:
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Recruiting Webisite:
Dominant Foot:
Right
Left
Video Link:
Club:
Clear
Your Coach:
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Club Coach:
Club Coach Email:
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Club Coach Cell Phone: