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First Name
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Last Name
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Email Address
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Home Address1
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Home Address2
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City
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State/Province
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Zip/Postal Code
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Contact Number
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CellPhone Number
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Graduation Year
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Position
Goalkeeper
Central Defender
Right Fullback
Left Fullback
Central Midfielder
Right Midfielder
Left Midfielder
Attacking Midfielder
Center Forward
Right Forward
Left Forward
Defensive Midfielder
Striker
*Please enter valid Position
Secondary Position
Goalkeeper
Central Defender
Right Fullback
Left Fullback
Central Midfielder
Left Midfielder
Right Midfielder
Attacking Midfielder
Center Forward
Right Forward
Left Forward
Defensive Midfielder
Striker
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Profile Image
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Background
Mother's Name
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Mother's Phone Number
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Mother's Email Address
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Father's Name
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Father's Phone Number
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Father's Email Address
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Date of Birth
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*Please enter valid Date of Birth
Submitted Video
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no
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Have you Applied?
yes
no
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Screen Name
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Athletic
Recruiting Website
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Youth Club
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Youth Team
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Current Youth Coach Name
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Senior Club
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Senior Team
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Current Senior Coach Name
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Highest Level of Play
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Academic
High School / College
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School Address 1
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School Address 2
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School City
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School State
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School Zip
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School Phone Number
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Counselor's Name
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Counselor's Phone
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Counselor's Email
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Class Rank
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GPA
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Academic Honors
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Transcripts
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Intended Major
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Other College Choices
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I am intereseted in hearing about sports camps in my area through
Ryzer
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