CollegeSoccerAcademy.com

Application for Academy Admission

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Check the boxes below if the service interests you:

Individual training	Small group training	Team training
Recruiting video	Video analysis of performance	College Soccer Recruiting Camp
College Soccer Recruiting Advice

*Name of Player:

*Name of Parents:

*Grade in School:

*Address:

*City:

*State (County):

*ZIP Post Code:

*Country:

*Home telephone:

Mobile/Cell # of
parent:

*Email of Player:

*Email of Parent:

All emails sent will be cc'd to parents

*Positions played:

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*What do you perceive
as your strengths in
soccer?:

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