Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Preferred 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
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Zip
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Contact Number
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Cell Phone Number
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Date of Birth
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Background

Mother's Name
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Mother's Phone
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Mother's Email
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Father's Name
*Please enter valid Father's Name
Father's Phone
*Please enter valid Father's Phone
Father's Email
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Facebook Link
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Academic

Graduation Year
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High School / College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
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School Phone Number
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Class Rank
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GPA
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SAT Math
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SAT Critical Reading
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SAT Writing
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SAT Total
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ACT
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Academic Honors
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Transcripts
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Other College Choices
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Intended Major
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Has Applied

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NAIA Eligibility #
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Athletic

Primary Position








*Please enter valid Primary Position
Secondary Position








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Recruiting Website
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YouTube Link
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Tournaments/ID Camps Attending
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1:
*Please enter valid 1:
2:
*Please enter valid 2:
3:
*Please enter valid 3:
4:
*Please enter valid 4:
Height
FeetInch
*Please enter valid Height
Weight
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Dominant Foot
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School Jersey Number
*Please enter valid School Jersey Number
School Coach's Name
*Please enter valid School Coach's Name
School Coach's Phone
*Please enter valid School Coach's Phone
School Coach's Email
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Club Team
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Club Team Jersey Number
*Please enter valid Club Team Jersey Number
Club Coach's Name
*Please enter valid Club Coach's Name
Club Coach's Phone
*Please enter valid Club Coach's Phone
Club Coach's Email
*Please enter valid Club Coach's Email
ODP Experience
*Please enter valid ODP Experience
US Dev. Academy Experience
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Planning to Attend Lourdes University Camp


*Please enter valid Planning to Attend Lourdes University Camp