Late Registration Form

This Form Is Only For Those Who Are Currently In Grade 12 or Late Grade 11

Canadian Student Athlete Evaluation Form For Late Recruits

Please note that all fields followed by an asterisk must be filled in.

Graduation Year*
Graduation Year*

Current Grade (if applicable)*
Current Grade (if applicable)*

What Is (or was) The Combined Average Of Your Grades (%) Do Not Continue If It Is Not In This List*
What Is (or was) The Combined Average Of Your Grades (%) Do Not Continue If It Is Not In This List*

First Name*
First Name*

Last Name*
Last Name*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Home Phone*
Home Phone*

E-mail Address*
E-mail Address*

Retype & Confirm Email Address*
Retype & Confirm Email Address*

Country*
Country*

Male / Female*
Male / Female*

Age*
Age*

Birth Date (dd/mm/year)*
Birth Date (dd/mm/year)*

Choose GPA*
Choose GPA*

Have You Taken Your SAT's?*
Have You Taken Your SAT's?*

Name Of Current School (or last high school if you've already graduated) w/ Address & Phone Number*
Name Of Current School (or last high school if you've already graduated) w/ Address & Phone Number*

Sport Played*
Sport Played*

Position or Event*
Position or Event*

Name Of Coach*
Name Of Coach*

Height*
Height*

Current Weight (lbs)*
Current Weight (lbs)*

Have you received recruiting letters from colleges?*
Have you received recruiting letters from colleges?*

Have you received recruiting telephone calls from college coaches?*
Have you received recruiting telephone calls from college coaches?*

Have you registered for the NCAA Eligibility Center?*
Have you registered for the NCAA Eligibility Center?*

Have you received a college recruiting letter from CSA-PREPSTAR?*
Have you received a college recruiting letter from CSA-PREPSTAR?*

How Many Years Have You Been A Regular Starter On Your Team?

List All Of Your Sport & Academic Awards / Achievements, etc.*
List All Of Your Sport & Academic Awards / Achievements, etc.*

Do You Have A Recent Game Video Or Highlight Video That You Can Send Us? If yes, please mail to our Calgary office.*
Do You Have A Recent Game Video Or Highlight Video That You Can Send Us? If yes, please mail to our Calgary office.*

Parent or Legal Guardian w/ Full Address, Phone Number & Email*
Parent or Legal Guardian w/ Full Address, Phone Number & Email*

Best Time To Call?*
Best Time To Call?*

Comments / Questions

*
*

IMPORTANT: Your parent or legal guardian must approve the submission of this form by CHECKING THIS APPROVAL BOX.

Parent Or Legal Guardian Must Type Their Name Here (This Is Considered A Signature)*
Parent Or Legal Guardian Must Type Their Name Here (This Is Considered A Signature)*

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