General Information 

Name     Email Address

Home Address 

City     State     Zip 

Home Phone   Cell Phone  

Date of Birth     SS# 

Father's Name  Occupation  Bus. Phone 

Mother's Name  Occupation  Bus. Phone 

Academic Information

High School 

Address 

Academic Interests 

SAT Scores:  Verbal     Math    

                    Written             Date Taken

Class Rank/Total     GPA     Date of Graduation 

Athletic Information 

High School Coach     Coach's Home Phone 

Height     Positions     Jersey Number   Batting Avg. 

Throw (R/L)     Bat (R/L)     Pitching record 

Pitches you can confidently throw  

Awards (Captain, All-Conference, etc.) 

Friends/Relatives attending or graduates of Lycoming