PERSONAL INFORMATION      
       
Name Birth Date (mm/dd/yy)
Height Weight
Address Home Phone
City Cell Phone
State Email
Zip Code Married?
      Male Female
       
GUARDIAN INFORMATION      
       
Mother or Legal Guardian Father or Legal Guardian
Occupation Occupation
Address Address
City City
State State
Zip Code Zip Code
Home Phone Home Phone
Cell Phone Cell Phone
Email Email
       
HIGH SCHOOL INFORMATION      
       
School Graduation Date
Address Grade Point Average (GPA)
City ACT Score
State Class Rank
Zip Code Honors
Phone Clubs
       
HIGH SCHOOL ATHLETIC INFORMATION      
       
Coaches Name Other Sport(s) Played
Coaches Phone Awards (List all sports)
Coaches Email Achievements (List all sports)
       
CLUB TEAM INFORMATION       
       
Coaches Name Club Team 
Coaches Phone  Participation in ODP?
Coaches Email  Video Available?
       
TRANSFER STUDENTS      
       
College Year in College
Address Grade Point Average (GPA)
City Major
State Reason(s) for Transfer
Zip Code Sport(s) Played
       
Soccer Information      
       
Position (List all played) Striker Defender F
  Midfielder Goalkeeper D
      M
  Right Footed Left Footed  
       
Goals Saves  
Assists Shutouts
Video Available? G.A.A. (Goals Against Avg)



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