Registration

Please complete this information so we can get to know you and your needs.

Please provide the following Student contact information:

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Please provide the following Parental contact information: Mother / Father

First Name
Middle Initial
Last Name
First Name
Middle Initial
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone
Home Phone
FAX
E-mail

Please provide the following contact information: Guardian

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please identify and describe yourself:

Date of Birth

Sex Male Female

Height ft in

Weight lbs

Handed

Vertical in

Bench lbs

Squat lbs

40Yd Dash
sec

20Yd Shuttle:
sec

Select any of the following sports that you play:

Baseball             Basketball           Cheerleading         Cross Country      
Football             Golf                 Hockey               Lacrosse           
Rowing               Soccer               Softball             Swimming and Diving
Tennis               Track and Field      Volleyball           Wrestling

Positions:

Overall GPA:
Core GPA:
ACT:
SAT(M):
SAT(V):
Class Rank:
Honors:

Awards:
Career Ambition:

Please provide the following contact information: High School / Jr. College

Name of School
Coach
Coach
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Office Phone
Coach's Phone
FAX
E-mail
URL

Questions or problems regarding this web site should be directed to webmaster@insightrecruiting.net.
Copyright © 2002-2005 insight Recruiting the Magazine. All rights reserved.
Last modified: 12/22/05.

Date of Birth
Sex	Male Female
Height	ft in
Weight	lbs
Handed
Vertical	in
Bench	lbs
Squat	lbs
40Yd Dash	sec
20Yd Shuttle:	sec

Registration

Questions or problems regarding this web site should be directed to webmaster@insightrecruiting.net. Copyright © 2002-2005 insight Recruiting the Magazine. All rights reserved. Last modified: 12/22/05.

Questions or problems regarding this web site should be directed to webmaster@insightrecruiting.net.
Copyright © 2002-2005 insight Recruiting the Magazine. All rights reserved.
Last modified: 12/22/05.