Division 1 Clearance Form

Athletes Info (Filled Out By Coach):

Name: __________________________________________

Address: ________________________________________

City:_____________________________________________ State: ____ Zip: ________

Phone: (Day) (____)-_____-________ (Evening) (____)-_____-________

Email: __________________________________

Sex: M___ F___

Height: ____ ft. ____in.

Weight: ____ lbs.

40 yard _______ sec.

60 yard _______ sec.

High School: __________________________________City: ________________________

Sport: _____________________________ G.P.A. ________ (Based on 4.0 scale)

Position: ____________________________

Notes/Comments About Student Athlete: ___________________________________________

______________________________________________________________________________

I __________________________ (High School Coach's Name), declare that _______________________(Student Athlete's Name), is a College prospect. In my opinion he/she has the ability to excel and compete in College athletics. By signing this form I declare that the above statement is truthful to my knowledge.

_________________________________
(Coach's Signature )

In my opinion ________________(Student Athletes Name) is best suited for:

Div. I

Div. II

Div. III

NAIA

Junior College

High School Coaches Info:

Print Name: _________________________________________

Address: ____________________________________________

City: _______________________________________________ State: ____ Zip: ________

Phone: (Day) (____)-_____-________ (Evening) (____)-_____-________

Email: __________________________________

After completion of this form please mail it to:
College Sports Connection
P.O. Box 7656
Capistrano Beach, CA 92624

Please include a check or cash for $5.00 with form. Make checks payable to: Corey Tolmasoff