Athletics Team Request Form

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Birthday*
MM slash DD slash YYYY
Parent Name*
Academic Information
Academic Standing:*
Current School*
School Address*
Street Address City State / Province / Region
Graduation Date*
MM slash DD slash YYYY
Registered with the NCAA Clearinghouse:*
- Yes
- No
Have you taken the SAT:*
- Yes
- No
SAT Date
MM slash DD slash YYYY
SAT Verbal
SAT Math
Have you taken the ACT:*
- Yes
- No
ACT Date
MM slash DD slash YYYY
ACT Score
Current GPA (4.0 Scale):*
Intended Major:*
Athletic Information
Which Team would you like to Try out for?*
Height (Feet' - Inches")*
Weight (lbs)
Position/Event:*
Coach's Name:*
Coach Phone Number:*
Coach E-mail:
Team Honors/Achievements:*
Individual Statistics:*
Individual Honors/Achievements:*

Academic Information