hockey SIGNUP


* - All fields are required, unless otherwise specified.
Personal Information
First Name Address
Last Name City
Email State/Province
Birth Date Zip/Postal Code
Sex Country
Weight (in lbs) Home Phone (ex. 416 123 4567) - -
Height   Cell Phone (optional) - -
Shot Family Members
Household Income Unknown $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $150,000 $150,000+
Parent/Guardian Information
Name Email (optional) Contact phone
Athletic Information
Pointstreak Player ID (optional) How to find your Pointstreak Player ID
League
   
Academic Information
Current School GPA file (optional)
(formats: .doc, .pdf, .jpg, .gif, .png, .xls)
Current Status SAT file (optional)
(formats: .doc, .pdf, .jpg, .gif, .png, .xls)
GPA Score If you have any newspaper clippings of yourself or any letter of references, upload them in the field below !
SAT/ACT (if not written leave blank) Newspaper/Letter of Reference (optional)
(formats: .doc, .pdf, .jpg, .gif, .png, .xls)
NCAA Clearance Number (optional)  
Graduation Year (ie/ 2014)  
Post Secondary School Interest
University 1st Choice City/Area Size
University 2nd Choice Geography to Home
University 3rd Choice Study Intention
Preferred Size of Institution Career Ambition
Verification
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