Please Fill in Completely:
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| Showcase: |
Boys Girls
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| First Name: * |
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| Last Name: * |
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| Home Address: |
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| City: |
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| State: |
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| Zip: |
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| Home Phone: |
(include area code, please use format xxx-xxx-xxxx.)
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| Email Address: |
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IMPORTANT:
Fill-in accurately and check email often as further information, including confirmation, sign-in details, etc. will be sent to you ONLY BY EMAIL! |
| Year of Graduation: |
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| Parent(s) Name(s): |
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| Parents' Email Address: |
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| High School: * |
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| HS Coach's Name: |
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| Coach's Phone: |
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| Coach's Email: |
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| Position (choose one): |
Forward Inside Midfielder Outside Midfielder Back Goalie
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Height:
Weight:
Dominant Foot:
Years Playing Soccer:
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PSAT Total:
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SAT/ACT Total:
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Grade Point Average:
based on 4.0 system |
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| Planned Major if known: |
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| Will you require college financial aid?
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Sports, civic & academic accomplishments
(years on varsity, club team exp, ODP, other sports, work, honor roll, etc -- max of 350 characters) :
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Before you submit, proofread carefully,
especially your email addresses.
Errors may make it difficult for coaches to contact you.
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IMPORTANT:
As soon as possible, fill out and return the mandatory Release Form and a black & white or color passport-style photo (do not send an action shot) for the Player Profile Book. If you send the photo as an email attachment, be sure it's in jpeg format and make sure your name is in the jpeg file name. If you send the photo by mail, be sure to print your name and high school on the back. |
| © New England Premier Showcase |