EmailMe Form - TOPP ONTARIO ELITE BOYS: NOVEMBER 2019

Name *

First Last

High School Graduating Year *

Date of Birth (ex November 25, 2004) *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Player Email *

Player Phone Number *

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Parent Email *

Parent Phone Number *

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High School Name *

High School City and Province/State (ex. Oakville, Ontario) *

GPA or Report Card Average (Grade 8-present)- Ex 3.6 GPA or 90% Average *

SAT Score (just write N/A if you haven't taken them) *

ACT Score (just write N/A if you haven't taken them) *

Club Team Name *

City, State/Province, Where Club Team is Based (ex. Vancouver, BC) *

Club Team Coach' Name *

Club Coach's Contact Email *

Primary Position *

Secondary Position *

Primary Foot *

Right Footed

Left Footed

Top 5 Schools You Are Interested In *

Top 5 Schools At The Event You Are Interested In *

Where You Are Interested In Going To School *

Canada (U Sport/CCAA)

US (NCAA/NAIA)

Open to Both US and Canada

Emergency Contact Name *

First Last

Emergency Contact Relationship to Player (ex. Mother) *

Emergency Contact Phone Number *

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Clinic Payment (Full refunds until September 15, 2019) *

$275

Evaluation ($99)

$99 - for a detailed evaluation of strengths and weaknesses from university coaches

Video ($65)

$65 - for video of the 11v11 portion of the event

Tournament Swag

T-Shirt ($20)

Long Sleeve ($25)

Sweatshirt ($40)

Tournament Gear Sizing

Adult X Small

Adult Small

Adult Medium

Adult Large