Student-Athlete Information *First Name: *Last Name:
*Street Address: *City: *State: Zip Code: *Home Phone: (XXX-XXX-XXXX) Cell Phone: (XXX-XXX-XXXX) *Email: (player@soccer.com) *Date of Birth: *Parent/Guardian: Academic Information *High School: *City: *State: Class Rank: SAT's Test Scores *Verbal: *Math: *Total: *Year of Graduation: Athletic Information *Primary Position (F/M/D/GK): Secondary Position (F/M/D/GK): *Club Team: *Jersey Number: *Club Team Coach: *Club Team Coach's Primary Phone Number: (XXX-XXX-XXXX) *Club Team Coach's Email: (coach@soccer.com) ODP Team: Jersey Number: ODP Coach: ODP Coach's Primary Phone Number: ODP Coach's Email: (coach@soccer.com) Awards Earned (Indicate if it is a team, club, town, state, regional, or national award): *Tournament(s) Attending: High School Statistics Freshman - Goals Assists Goals Against Average Sophomore - Goals Assists Goals Against Average Junior - Goals Assists Goals Against Average Senior - Goals Assists Goals Against Average *-Required Information
