Empire Allstars Top 100 Clinic

Player Profile Forms

Player  Personal Information:

Name:___________________________________ Age: _________Graduating Year______

Address:__________________________________________________________________

City:    _________________________________ State _____________ Zip ______________

Height: ______  Position Played: _____________; Level of Play (JV/Var?) last season?______

Phone:  ________________________________ E-mail: _____________________________

High School: ____________________________High School Coach:____________________

AAU Team:  ____________________________AAU Coach: __________________________

Have you registered with the NCAA Clearinghouse? __________________________________

Tell us a little about yourself, (as much, or as little as you like):

Academic Honors: ____________________________________________________________

Extra Curricular Activities: _______________________________________________________

Athletic Honors/Awards: ________________________________________________________

Area of Academic Interest at College: ______________________________________________

College Interest.  List colleges you have an interest in attending...or with whom

you would like to make sure the college coach knows you have been nominated

to attend the Empire Allstars Top 100: ________________________________________________

____________________________________________________________________________

Please complete and send, or fax this form to:

Empire Allstars Basketball, P.O. Box 401, Burnt Hills, New York  12027, so as to arrive on or before September 26th , 2007.

Faxed copies can be sent to (518)384-0610.  If you have not yet registered for consideration to attend the Top 100, please include a completed player profile form with your registration/nomination form.

By affixing my signature below, I hereby give permission to the BCANY & Empire Allstars Basketball to reproduce the information contained hereon, for the purpose of distributing same to college coaches/recruiters attending the Top 100 clinic.

Printed Name: __________________________ 

Signature: _____________________________                Date:  _______________________________