Friends of Frederick E. Samuel Foundation, Inc.
Clyde Frazier Jr.
SlamJam Women's Basketball
2472 Adam Clayton Powell Jr. Blvd.
New York, New York 10030
(212) 862-4216
(212) 491-3608 fax

PROFILE SHEET

(PLEASE PRINT CLEARLY)

PLAYER NAME:_________________________________________________________

PLAYER FULL ADDRESS:_____________________________APT _____

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CITY:______________________STATE:________________

ZIP:___________

PLAYER PARENT(S) NAME:__________________________________________________

PLAYER PHONE NUMBER: ___________________________________________________

PLAYER EMAIL:___________________________________________________________

PLAYER GRADUATION YEAR: (2005, 2006, ETC.)_______________________________

HIGH SCHOOL ATTENDING:_________________________________________________

HIGH SCHOOL COACH: ____________________________________________________

PLAYER DATE OF BIRTH:_____________ HEIGHT: ________________

YEAR IN SCHOOL:__________________ GPA:____________

SAT SCORES: _________________

PLAYER POSITION:____________________

PLAYERS MAJOR:_______________________

AAU COACH NAME:______________________________________________

AAU COACH PHONE NUMBER:______________________________

ANY COLLEGES THAT THE PLAYER IS INTERESTED IN: ____________________________________________________

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