Men's Soccer Recruit Form - Itawamba CC
Please fill out the following information to allow our staff the opportunity to learn more about you. 
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Email *
First & Last Name  *
Birth Date *
MM
/
DD
/
YYYY
HS Graduation Year  *
Cell Phone/WhatsApp *
Hometown/State (Country if Applicable) *
High School Attended/Attending *
High School Soccer Coach 
High School Soccer Coach Cell
Club Soccer (If Applicable)
Club Soccer Coach
Club Soccer Coach Cell
Position(s) *
Required
Preferred Foot *
SAT/ACT Score  *
GPA
Potential Major(s):
Link to video if available: 
Athletic Awards/Honors:
Academic Awards/Honors:
Would you like to receive email updates on camps or other opportunities in the future?  *
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