Participant Info Sheet for SMS Entry (1) (PDF)

Fill out all information in visible handwriting.
* Everything must be filled out
PARTICIPANT INFO FOR SMS ENTRY

*
* ADDRESS:
CITY:
*
* STATE:
NAME:

___________________________________________________
___________________________________________________
___________________________________________________
_____________

* PHONE NUMBER:
*EMAIL ADDRESS:
* DATE OF BIRTH:
* GENDER:
* GUARDIAN NAME:

ZIP CODE:

___________________

___________________________________________________
___________________________________________________
___________________________________________________
MALE

FEMALE

___________________________________________________

* CURRENT SCHOOL NAME:
*GRADE ENTERING IN THE FALL:
* OFF POSITION:
* DEF POSITION:
* HEIGHT:
*YEARS IN HSPD PROGRAM:

___________________________________________________

*COLLEGE PLANNING TO ATTEND:

___________________________________________________

9

10

11

12

OTHER: ______

QB

WR

RB

TE

OL

DL

LB

SAF

CB

_____ft _____in.
0

WEIGHT:

1

2

___________________
3

OTHER: _______

**Is the HSPD physical or a valid school physical (with a physician signature) attached?
YES

NO

**Is the HSPD waiver (with a guardian signature) attached?
YES

NO

HAVE YOU PREVIOUSLY PARTICIPATED IN JPD?
YES

NO

HAVE YOU PREVIOUSLY PARTICIPATED IN HSPD?
YES

NO

HAVE YOU PREVIOUSLY PARTICIPATED IN THE NATIONAL 7-ON-7 TOURNAMENT?
YES

NO

*ONLY APPLICABLE IF PARTICIPANT IS IN GRADE 12!
**REQUIRED DOCUMENTATION TO PARTICIPATE IN HSPD!!!!!