Recruitment Form - Avila Men's Soccer

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ZIP Code *

Email address *

Cell Phone Number *

Address 2

City *

Address 1 *

Last name *

State *

First name *

Twitter handle:

Instagram handle:

Height: *

Weight: *

Date of birth: *

Father's name:

Father's occupation:

Mother's name:

Mother's occupation:

Would you like to visit campus? *

Yes No

If so, tell us some dates that work for you:

High School: *

School phone number: *

Graduation date: *

GPA: *

Class Rank

Intended Major: *

High School Coach's Name: *

High School Coach's Phone Number: *

Club Team:

Club coach's name:

Club coach's contact info:

Positions played: *

Primary stats: *

Other notable stats:

Athletic honors and achievements:

Academic/Extracurricular honors:

Link to game tape: *

* required field