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Prep Football Academy - June 26, 2015
Please complete the registration form below and submit your payment information to secure your spot in the 2015 Prep Football Academy presented by LakeMichiganFootballReport.com. Please contact The Lake with any questions regarding registration (email
LakeMichiganFootballReport@gmail.com
or call 810.813.3197).
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* Indicates required question
Player Information
Player First Name
*
Your answer
Player Last Name
*
Your answer
High School Name
*
Your answer
Primary Position(s)
*
Please do not select more than three.
RB
DB
LB
OL
DL
P / K
WR
TE
QB
Other:
Required
Graduation Year
*
2016
2017
2018
2019
Other
Height
*
Choose
5'0
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6'
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
6'10
6'11
7'
Weight (lbs)
*
Your answer
T-Shirt Size
*
Choose
S
M
L
XL
XXL
GPA
If GPA is not calculated on a 4.00 scale, please make a note.
Your answer
ACT and/or SAT Score
Your answer
Football Highlight Link URL (can use HUDL, YouTube, or other website)
Your answer
How did you hear about this event?
I searched the internet for football camps/combines
I found out from my football coach
I received an invitation in the mail
I received an email from LakeMichiganFootballReport.com
I heard about it from a friend, teammate, or relative
I saw something about it on social media (Facebook, Twitter, etc)
Contact Information
Player Home Phone #
*
Your answer
Player Home Street Address
(i.e., 123 Bluebird Drive, Apartment #A)
Your answer
Player Home City, State, ZIP
(i.e., Royal Oak, MI, 48067)
Your answer
Player Twitter Handle
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email
*
Please ensure accuracy. This is the email we will use to send important information about registration and results.
Your answer
Emergency Contact Informtation
*
Please list the name & phone number of someone who can be reached in case of emergency (i.e., Sam Smith, 555-555-5555).
Your answer
Method of Payment
Please do not submit this form if you will not be paying online today. Walk-up registration will be available for $80 on June 26th if you do not pay online. A link to the payment website will be provided after clicking submit. Refunds are not available.
Please confirm your method of payment below:
I will be paying online today using the link provided on the next page (after clicking "submit" below).
I will not be paying online today and should not submit this form.
I spoke with Lake Michigan Football Report directly and have made special arrangements for payment.
Submit
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