Centerville Elks Soccer Player Profile Input Form

If you have submitted profile data already, please enter your name and only the information you wish to change or add.

Player Information

Name: (First Name Middle Initial Last Name)
Address City State Zip:
Parents / Guardians Names:
Home Phone:

Academic Information

Year of Graduation:
Grade Point Average:
Class Rank: (xxx of yyy)
SAT:(M) SAT:(V) SAT Total:
ACT Total:

Academic Interest:

Academic Honors:

Athletic Information

Club Team Name:
Club Coach Name:
Coach Home Phone: Coach Work Phone:

 

Years on Varsity:
Height: (X' XX") Weight:
Positions Played:

Soccer Honors:

List any extracurricular activities that would demonstrate leadership:

Additional Information:


 

Centerville High School
500 East Franklin St.
Centerville, Ohio 45458		 Bryan Loveless, Head Coach
(937) 439-2926 (Stadium)
Bryan.Loveless@Centerville.K12.Oh.US		 Centerville Athletic Department
Ron Ullery, AD
(937) 439-3517