CPA Registration Form

CPA Registration Form

Application for Admissions
Student Name*

First NameLast Name
E-mail*
Age*
Date of Birth*

MonthDayYear
Date
Weight*
Height*
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about Champion Prep Academy?*
Please mark which sport you are interested in:*

BaseballBasketballFootball
Present Grade*
Current school and GPA:*
Guardian Information

Please enter parent or legal guardian information below:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Offense

QBRBWROL
Position Defense

DBDLLB
Special Teams

KPLS
Applicant paste a link to your highlight film
All application fees are non refundable.*

Please check box if you agree with these terms.
Registration:*
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Registration Fee $50.00

Total $0.00
Should be Empty: