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Referred By:

Date:

Player Information:

Name:

Nick Name:

Date of Birth:

Address:

Address2:

City:

State:

Zip:

Phone:

Email:

Parent's Name to Contact:

Parent's Phone:

Birth State:

Year:

Freshman:
Sophomore:
Junior:
Senior:
Junior College:

Athletic Information:

Height:

Weight:

High School Uniform Number:

AAU Uniform Number:

Dominant Hand:

Position:

High School Statistics:

Does your school video games?:

Yes: No:

If not, can you get
a game tape elsewhere?:

Yes: No:

High School Coach:

High School Coach Phone:

AAU Team:

AAU Team Coach:

AAU Team Coach Phone:

Is it important to go to
College close to home?:

Yes: No:

Have you received
letters from colleges?:

Yes: No:

Have you received phone calls
from college coaches?:

Yes: No:

Academic Information:

High School:

High School Phone:

High School Address

High School City

High School State:

High School Zip:

GPA:

SAT:

ACT:

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