UNLV Rebel Hockey Prospect Form

UNLV Rebel Hockey Prospect Form

Fill out the form carefully for registration
Personal Information
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Place of Birth*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Main Number*

Area CodePhone Number
Alt Phone Number (if applicable)

Area CodePhone Number
E-Mail*
Facebook
Twitter

Parent/Guardian Information
Full Name*

First NameLast Name
Relationship:*
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-Mail*
College Name
Occupation
Employer
Parent/Guardian Information
Full Name

First NameLast Name
Relationship:
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-Mail
College Name
Occupation
Employer

Athletic Information
Position*
Shot*
Height*
ex: 5'11"
Weight*
ex: 162 (lbs)
Current Team*
League*
Junior Team Drafted By?
List All, common-seperated
HockeyDB URL
Copy paste the URL to your HockeyDB page, if available.
Player Stats
Games Played
Goals
Assists
Points
+/-
PIM
Goalie Stats
Games Played
GAA
Save %
Wins
Losses
Ties
Prior Team Coach Information
Full Name

First NameLast Name
E-Mail
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Team

School Information
High School Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Website
Guidance Counselor's Full Name

First NameLast Name
Guidance Counselor's Phone Number

Area CodePhone Number
Guidance Counselor's E-mail
Academic Information
SAT
ACT
GPA*
H.S. Grad Year*
Registered with Clearinghouse
Intended Major
If you currently have one.

General Information
Top 5 Priorities in Choosing a College Are?*
My Top 5 College/University Choices Are?*
Person(s) That Will Help Me Choose College?*
Besides Hockey, My 3 Favorite Hobbies Are?*
Additional Comments
Enter the message as it's shown*
Should be Empty: