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Personal Information
First Name: *
*Required
Nickname:
Last Name: *
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Mobile/Alt. Phone: *
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Email: *
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*Invalid email address
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Address: *
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City: *
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State: *
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Zip: *
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Grad Year: *
2020
2021
2022
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2025
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2031
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*Required
Will you be attending our prospect camp?:
Yes
No
Athletic Information
Questionnaire Recruited Position: *
C
CB
DE
DT
FB
FS
ILB
K
OG
OLB
OT
P
QB
RB
SS
TE
WR
*Required
Height: *
ft.
in.
*Required
Injuries Suffered: *
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Weight: *
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List additional sports:
Jersey Number: *
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40 Time:
Hudl Link:
Academic Information
GPA: *
*Required
*Invalid GPA
Registered with Clearinghouse: *
Yes
No
*Required
ACT:
SAT:
SAT Math:
SAT Writing:
Intended Major:
Social Media
Twitter:
Instagram:
Parent/Guardian Contact Information
First Name: *
*Required
Last Name: *
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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
*Required
Phone: *
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Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Work Phone:
Ext:
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
Phone:
Mobile Phone:
Email:
*Invalid email address
College Name:
Occupation:
Employer:
Work Phone:
Ext:
High School Information
School Name: *
Clear
*Required
School State: *
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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
*Required
Your Coach:
Select your head coach
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HS Coach Name: *
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Email:
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Title: *
*Required
Work Phone:
Mobile Phone:
Trainer Name:
Additional Information
Any Additional Information You Want To Share: