Questionnaires

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General

First Name *

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Last Name *

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Email Address *

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Secondary 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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CellPhone Number *

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Position *

Attack

Defense

Midfield

Goalie

Draw Specialist

Center

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Profile Image

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Background

Mother's Name

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Mother's Cell Phone Number

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Father's Name

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Father's Cell Phone Number

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Academic

Graduation Year *

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Student Type *

First Year

Graduate

Transfer

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High School *

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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GPA

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Intended Major *

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SAT Total

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ACT Total

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Other Colleges You Have Visited

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Other colleges You Are Interested In?

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Athletic

HS Lax-Coaches Name

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HS Lax-Coaches Cell Phone Number

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HS Lax-Coaches E-Mail Address

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Club Team

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Jersey Number

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Club Coaches Name

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Club Coaches Cell Phone Number

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Club Team Coaches E-Mail Address

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Film

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I am intereseted in hearing about sports camps in my area through Ryzer.
When you opt in to Ryzer, we share your email address, zip code, and name with Ryzer so that they can send you information on relevant camps that you might be interested in.
The data in Ryzer is subject to their data privacy policy. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.

Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Email

Main #

Secondary #

Cell #

Invalid Email Invalid Main Invalid Secondary Invalid Cell Phone #'s must be 10 digits. (i.e. 1234567890) Phone #'s must be 10 digits. (i.e. 1234567890) Phone #'s must be 10 digits. (i.e. 1234567890)

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