Full Name

Address

City ST   Zip

Home Phone

E-mail

Parent's Names

Please list three professional scouts who have seen you play:

What athletic honors and awards have you received in high school?

Other sports that you play (and positions)

High School

Coach

His Phone #

Positions Bats/Throws

Height Weight   Date of Birth

SS#     SAT/ACT

Summer/Fall Team

Coach His Phone

Best time to reach you by phone

Will you be able to come to our campus for a visit?

Name the other two best players in your area

What three qualities are most important to you when deciding where to attend college? Why?

Questions that you have for us

Thank you for taking the time to complete this form.