Southern Polytechnic Profile Camp

Saturday September 13, 2008

 

Player Application

Player’s Name:_____________________________________

Address:__________________________________________

City, State, Zip:____________________________________

Home Phone:________________Cell: __________________

E-mail:____________________________________________

Emergency Contact:_________________________________

Emergency Number:_________________________________

Age:________Height:______________Weight:____________

School:_____________________________________________

High School Coach Name:____________________________

High School Coach Number:__________________________

GPA:____________SAT:____________ACT:_____________

Club Team:_________________________________________

Club Team Coach:___________________________________

Can this information be submitted to college coaches, recruiting services, and websites:Yes_______No___________

Please make checks payable to :

Jeff Jones c/o camps

Send checks to:

1100 South Marietta Pkwy

Marietta, GA 30060