NAME: _________________________________________________________________
DATE OF BIRTH:_____________Social Security #:_______________________________
HOME ADDRESS:_________________________________________________________
NAME OF PARENTS/GUARDIANS_____________________HOME PHONE:___________
MOTHER'S OCCUPATION:___________________________WORK PHONE:___________
FATHER'S OCCUPATION:___________________________WORK PHONE:____________
AGE:____________________HEIGHT:_______________WEIGHT:_________________
SCHOOL ATTENDING:__________________YEAR OF GRADUATION:_______________
SCHOOL ADDRESS:_______________________________________________________
GUIDANCE COUNSELOR:_____________________________GPA:__________________
CLASS RANK:__________ACT:_________SAT:(verbal)______(math)______(total)______
COLLEGES YOU'RE INTERESTED IN:_________________________________________
_______________________________________________________________________
_______________________________________________________________________
SCHOOL COACH:__________________PHONE(work):____________HOME:___________
PREFERRED POSITION:_________________POSITION'S PLAYED:_________________
HIGH SCHOOL EXPERIENCE:________________________________________________
TEAM RECORDS/HONORS:_________________________________________________
INDIVIDUAL HONORS AND STATS:__________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please complete and return to:
Chris Webb
P.O. Box 3937
Buies Creek, NC 27506
