First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

Cell Phone

E-mail

Height

Weight

Parent's Names

Parent's Cell

Date of birth

-- mm/dd/yy

Date of
High School Graduation

-- mm/yy

Play

List all athletic accomplishments, statistics, rankings, etc:

List all academic information, including SAT (or PSAT) scores, along with grades and any other relevant information:

What are your academic goals and aspirations?

What are your athletic goals and aspirations?

Are there any schools that you have considered so far?

Is there a region of the country where you would prefer to attend college?

Do you have a preference for the size of the school?

Do you or have you played other sports competitively?

Do you participate in extracurricular activities?

List the name and phone number of your coach:

Is obtaining a scholarship a priority?

Yes No