Please Print Legibly

Date of Event: _________________

Location of Event : ____________________________________________

Athlete’s Last Name: __________________________  First:________________ Middle:_______________

D.O.B.____________  Positions Played:____________________________________ Jersey #__________

Other Sports Played ___________________________ School:____________________________________

Graduating year:________ G.P.A.________ ACT________ SAT (MATH)________VERBAL_____________

Street address:_________________________________City:____________________State:____________

ZIP Code:________  E-mail Address_________________





Academic honors________________________________________________________________________


Intended College Major ___________________________________________________________________


Who are the three Northeast Ohio teams to watch this year?_______________________________________




Shirt Size:   S     M     LG     XL     XXL     XXXL
(CIRCLE ONE)





Position Being Tested For:       Offensive Back          Wide Receiver/TE          Offensive Line                   
(CIRCLE ONE)                      
                                              Line Backer               Defensive Back             Defensive Line
                                                                   
                                                                                  Quarterback*


Print and mail to:  D1 Football
                         1414 South Green Road STE 105
                         South Euclid, Ohio 44024

Additional paper may be used for submittal  --------    Referral___________________________________