Nominated Player Form

• Player Selection will be mid-December.

• Player commits to three 2-3 hour practices on January 13th, 14th, and 15th, 2023 and Game Day on January 16, 2023.

• Player commits to selling at least 10 Cleats vs Cancer Charity Game Day tickets and purchase a game day jersey.

Player First Name *

Player Last Name *

Please confirm that this player is a high school senior graduating in 2023. (Select Yes or No) *

Position *

Secondary Position *

School Name *

School: City *

School: State *

School: Zip *

Player Phone Number *

Player Personal Email *

Height *

Weight *

GPA

Nominating Coach: *

Nominating Coach: Phone *

Nominating Coach Email: *

Nominating Coach Twitter:

Player Twitter:

Player HUDL?

College Offers? Yes or No

Name of school offering?

Do you have any awards? (ex. All-League, 1st Team, 2nd Team, Player of the Year, Honor Mention)

Can you provide your current stats?

No College Offers... Top 3 Interested In:

Do you know someone fighting cancer? Are you playing for someone special? If so, please tell us who they are and what they mean to you.

Parent Name *

First

Last

Parent Email *

Select Jersey Size (sizes run small)