ECAG SPORTS

Player / Athlete Consultation Form
Please enter the following information:

	Personal Information
	Name*:
	Address*:
	City*:
	State*:
	Country*:
	Zip*:
	Phone Number*:
	Parents Name or names/Guardian*:
	Height*:
	weight*:
	e-mail address*:
	Jersey number*:
	Photo:
	Video Image :
	Video file(.flv) :	(upload .flv video file )

	Contact Information
	School*:
	School address*:
	School phone*:
	Team Coaches*:
	Team Coaches Phone Number*:

	Academic Information
	GPA:
	Grade:
	SAT Score:
	Graduation Date:
	Desired Major:
	Clearinghouse:
	Statistics:
	Honors:
	Bio/Scouting Report: