Soccer Recruitment Form

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Email address *

First name *

Last name *

Address 1 *

Address 2 *

City *

State *

ZIP Code *

Cell Phone Number *

Date of Birth: *

Would you like to visit the campus? *

Yes No Already Visited

Height: *

Weight: *

High School Attended/Location: *

Graduation Date: *

College Attended/Location (if applicable): *

Desired Major: *

Club Team: *

Position(s): *

Goals Scored:

Assists:

Enter any other statistics or any additional information you would like the coaching staff to know: *

Athletic and Academic Awards: *

If match videos are available, indicate link below or email: *

* required field