Lady Raiders Soccer Recruitment Form

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Email address *

First Name *

Last Name *

Phone Number *

Email Address *

Home Address

Home Address City

Home Address State

Home Address ZIP

Twitter (X) Link

Instagram Link

Facebook Link

Parent Name

Parent Phone

Parent Email

High School Coach Name

High School Coach Phone

High School Coach Email

Club Coach Name

Club Coach Phone

Club Coach Email

High School Name

High School Address

High School City

High School State

High School ZIP

High School GPA

SAT Total

ACT

College GPA

Academic Honors

Other Colleges Attended

Recruiting Website

Video Link

Position *

Goalkeeper Left Back Right Back Center Left Midfield Right Midfield Center Midfield Forward

* required field