Exceptional Senior Player Information

CONFIDENTIAL

Sponsors

Player Information
Name:	Date of Birth:
Address (City, State, Zip):
Home Phone:	Email:
Height: ft. in.	Weight: lbs.
SAT Scores: V M W	If not give PSAT Score:
GPA:	Class Rank: of
Honors:
Have You Filed With The NSCAA Clearinghouse? Yes No

Mother's Name:	Mother's Occupation:
Father's Name:	Father's Occupation:

High School Name:
High School Address:
High School Coach Name:	High School Phone Number:
Club Coach Name:	Club Coach Phone Number:

Desired Course of Studies:
Soccer Experience:
Dates:
All Star Selection, Special Honors, Championships (School or Other):
Your Two Best Positions:
Other Varsity Sports Played: