PERSONAL DATA         

First Name             Middle Name/Initial    
Last Name             Street Address            
City                         State                             
County                   Zip/Postal Code          
Home Phone         Other Phone                
E-Mail                     Date of Birth                

Gender      Male     Female        U.S. Citizen      Yes      No

NCAA Clearinghouse Registered?      Yes       No

ACADEMIC DATA           

High School                   Street Address          
City                                 State                           
Zip/Postal Code           Team Name                
Coach's Name               Phone                         
Athletic Director's         Phone                         
       Name

School's Athletic Dept. E-Mail                  


Address of School's Web Page (URL)   


School's Fax Number           H.S. Graduation Year  


Intended College Major     

 
Intended College Division Level (eg. NCAA Division 1 or 2)    

GRADE LEVEL               

Overall Grade Point Average (on a 4.0 scale)     
Freshman          
Sophomore       
Junior                
Senior               

PSAT             SAT           ACT     

High School Academic Honors and Achievements

Extracurricular Interests

HIGH SCHOOL SPORTS STATISTICS          

Field Events

Pole Vault:               Fr.   So.   Jr.   Sr.
Shot Put:                 Fr.   So.   Jr.   Sr.
Discus:                     Fr.   So.   Jr.   Sr.
Long Jump:             Fr.   So.   Jr.   Sr.
High Jump:              Fr.   So.   Jr.   Sr.

Track Events

100 Meters:            Fr.   So.   Jr.   Sr.
200 Meters:            Fr.   So.   Jr.   Sr.
400 Meters:            Fr.   So.   Jr.   Sr.
800 Meters:            Fr.   So.   Jr.   Sr.
1500 Meters:          Fr.   So.   Jr.   Sr.
1600 Meters:          Fr.   So.   Jr.   Sr.
3200 Meters:          Fr.   So.   Jr.   Sr.
Low Hurdles:          Fr.   So.   Jr.   Sr.
High Hurdles:          Fr.   So.   Jr.   Sr.

Name your best two track events:

Cross Country

5k:                  Fr.   So.   Jr.   Sr.
2mile:             Fr.   So.   Jr.   Sr.
10k:                Fr.   So.   Jr.   Sr.

Additional Comments & Information

 

 

  • College Bound Athletic Connection (CBAC) will not edit the video provided.

  • Up to the first 60 seconds will be compressed and added to your web page.

  • Up to the first 5 minutes will be compressed and sent on a CD-ROM with the mailings of member profiles packages discussed below.

  • Submitted video tapes or other video sources become the property of CBAC.

  • Please attach a label on the video tape provided and include your name, address, phone number, position, jersey number, date submitted and uniform color.

  • Edit the video intended for the coaches and recruiters to include specific footage of your performance. Use good quality tape, avoid adding music. Show close up footage of your specific skills along with game situation footage.

 

OPTIONAL MAILING OF MEMBER'S PROFILES TO 10 UNIVERSITIES

After visiting www.gocollegebound.org links to colleges and universities, please enter below your top choices (up to 10) that you wish to mail an introductory letter your personal profile and your sports video film or CD-ROM to. More mailings may be arranged by contacting College Bound Athletic Connection.

 

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

 

MAIL MEMBER APPLICATION & PAYMENT TO ADDRESS BELOW

BLUE PACKAGE

*$ 99.00 Picture & profile on members own web page.

 

SILVER PACKAGE

*$ 169.00 WebPages & 10 mailings of picture, profile & 5 minute CD-ROM sport highlight video clip.

 

GOLD PACKAGE

*$ 199.00 Picture, profile, 30 second video clip on member's web page & mailings to 15 schools.

234132343

* ANNUAL FEES

 

I attest that the above information is accurate and I recognize that others, including College Bound Athletic Connection will rely and generally accept this information as accurate. Further, it is recognized that College Bound Athletic Connection will provide this information to interested parties, in several ways including through mailings, over the phone lines, via faxes, the world wide web and internet. The undersigned agrees to hold College Bound Athletic Connection, Christian Sport Camps, Inc., College Bound Summer League, College Bound Services, its affiliates, employees, volunteers and staff harmless, not responsible in any way for the ultimate end use of this information upon its submission and release to the general public. The undersigned knowingly and voluntarily waives and all claims, common law or statutory, past, present, and future, known or unknown, of whatever type, kind or character, and all legally recognizable causes of action, including bodily injury, damage to reputation, or physical harm, including death, against Christian Sport Camps, Inc. College Bound Athletic Connection, College Bound Summer League, College Bound Services, caused or alleged to be caused by the release of this information to third parties. 

 

Please enter package name to confirm for order. Thank You! (BLUE-SILVER-GOLD)

 

 




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