CWAAA 2011 Season- New Player Application for Scouting

Team   93/94, 95, 96, 97, 98, 99

Last name _________________  First Name _______________      MI _____

Home Address ___________________________________________________________________

City ________________________         State _______          Zip _____________-________

Home Phone __________________________        Alt. Phone ____________________________

Email address __________________________________________

Date of Birth               Month _______            Day ______            Year ______

Parents Names ______________________                _____________________________

Height ______             Weight _______

Playing Experience  (regular season)

Season             Association          Team                    Level            Pos.          Coaches Name  Coaches Phone No.

                        ___________    _________            ____            ___            __________    ___________

                        ____________   _________            ____            ___            __________    ___________

                        ____________   _________            ____            ___            __________     ___________

                        ____________   _________            ____            ___            __________     ___________

Additional playing or training experience

(include participation in any tryouts you attended even if you didn’t make the team)

Teams

Season             Association        Team            Level            Pos.       Coaches Name     Coaches Phone No.

_______        ____________   _______        ____            ___        __________     ______________

_______        ____________   _______        ____            ___        __________     ______________

_______        ____________   _______        ____            ___        __________     ______________

Camps or Schools

Season             Camp                  Team            Level            Pos.       Coaches Name     Coaches Phone No.

_______        ____________   _______          ____           ___        __________     _____________

_______        ____________   _______          ____           ___         __________    _____________

_______        ____________   _______          ____           ___         __________    _____________

Education

Grades             School            City             GPA    Teacher Reference         Teacher Phone No.

Elementary      ________      _______     _____    _______________      _________________

             ________     _______     _____     _______________      _________________

Junior High      ________     _______     _____     _______________     __________________

                       ________     _______     _____     _______________     __________________

Senior High     ________     _______     _____     _______________     __________________

                      ________     _______     _____      _______________    __________________

(Letters of recommendation from current or former coaches or teachers can be attached to this form)  

   Please include a schedule of your remaining games this season.  

             Central Wisconsin AAA’s

                      P.O. Box 422

                 Weston, WI    54476