Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address
*Please enter valid Email Address
Home Address1
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Contact Number
*Please enter valid Contact Number
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year
*Please enter valid Graduation Year
Background

Date of Birth
*Please enter valid Date of Birth
Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Mother's Email
*Please enter valid Mother's Email
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email
*Please enter valid Father's Email
Screen Name
*Please enter valid Screen Name
Academic

High School/College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School/College
Counselor's Name
*Please enter valid Counselor's Name
Counselor's Phone
*Please enter valid Counselor's Phone
Counselor's Email
*Please enter valid Counselor's Email
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Verbal
*Please enter valid SAT Verbal
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
How interested are you in Regis?
*Please enter valid How interested are you in Regis?
Athletic

Position




*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
Eligibility Center ID
*Please enter valid Eligibility Center ID
Club Team
*Please enter valid Club Team
Club Coach Name
*Please enter valid Club Coach Name
Club Coach Phone
*Please enter valid Club Coach Phone
Club Coach Email
*Please enter valid Club Coach Email
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Phone
*Please enter valid High School Coach Phone
High School Coach Email
*Please enter valid High School Coach Email
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Points per Game
*Please enter valid Points per Game
Rebounds per Game
*Please enter valid Rebounds per Game
Assists per Game
*Please enter valid Assists per Game
FG percentage
*Please enter valid FG percentage
3FG percentage
*Please enter valid 3FG percentage