Online Student Data Questionnaire


Complete As Much As Possible Now So We Can Get Started.

You will receive an email upon submission of this online form that shows all the data you provided in this session.  You can fill in the holes later by email. 


Student Information

Last Name  

First Name  

Student Gender  

Graduation Year  

Student's Date of Birth  

Student's Sport/Talent  

Offensive Position  

Defensive Position  

Height  

Weight (lbs)  

Bench Max (lbs)  

Squat Max (lbs)  

Vertical (inches)  

Jersey Number  

Home Colors  

Away Colors  

School Information

Name of High School  

School Address  

School City  

School State  

School Zip  

List Key Stats  

List All Athletic Honors & Awards  

Head Coach or Teacher Information

Head Coach or Teacher's Name  

Head Coach or Teacher's Phone  

Head Coach or Teacher's Email  

Additional Coach or Teacher Information

Position Coach or 2nd Teacher's Name  

Position Coach or 2nd Teacher's Phone  

Position Coach or 2nd Teacher's Phone  

Guidance Counselor Information

Guidance Counselor Name  

Guidance Counselor Phone  

Guidance Counselor Email  

Academic Data

SAT Score  

ACT Score  

GPA   GPA Scale  

Website Preferences


List your choices for your website's domain name in the order listed below (example www.joesmith.com or www.joesmithfootball.com or www.joesmithlinebacker.com).  We will acquire the first available domain name in your list.  If none of your choices are available we will contact you immediately.


Domain Name Choice 1  

Domain Name Choice 2  

Domain Name Choice 3  

Site Design Choice  

Parent/Guardian Information

Parent/Guardian's Last Name  

Parent/Guardian's First Name  

Address  

City  

State  

Zip  

Country  

Daytime Telephone  

Email 

NOTES  

Enter the letters appearing in the picture