Player Registration Form (Player Profile Must Also Be Filled Out, See Attached)

WEST MICHIGAN ELITE ACADEMY 2011

The WMEA, along with Grand Rapids Crew Juniors, have partnered to provide the 2nd annual West Michigan Elite Academy. We understand the importance of exposing our players to college coaches. The Academy is designed to showcase the most committed players in West Michigan to Midwest Colleges and Universities. The Academy is open to any and all and only limited to a total of 30 players due to restricted space at the Soccer Spot. Training sessions will be coached by 12

Date Men’s Program Women’s Program LOOKING TO 01/21 Nick Deren University Stephanie Central of Detroit Webb Michigan 01/28 Ben Western Nate Norman Western PLAY Pirmann Michigan Michigan 02/04 Eric Pogue Oakland Nick O’Shea Oakland COLLEGE University University 02/11 Kylie Michigan Andy Bowling Stannard State Richards Green SOCCER? State 02/18 Steve Cornerston Matt Kellogg Ferris When: Fridays throughout Jan/Feb Herdsman e State University How: Players must apply (see below) 02/25 Paul University Joe Eastern Snape of Michigan Malachino Michigan Who: High School Freshman, Sophomores, Juniors and Seniors Session One 5:00-6:30pm Freshman & Sophomores Session Two 6:30-8:00pm Juniors & Seniors Where: MVP Sports Spot, 3701 32nd St SE, Deadline: All applications must be in by Jan 17th. Spaces Kentwood 49512 limited.

“This program offered me a tremendous, and unique, opportunity to enhance my recruiting efforts by coaching talented players of the West Michigan Elite Academy. Thanks Marc!” Andy Richards, Head Coach, Bowling Green State University. ______Player Registration Form (Player profile must also be filled out, see attached)

Name______Phone #______Year F S J Snr Team Name/Club______Address______Email______Player Fee $150 Check #______

Due to NCAA compliance rules no discounts can be given and the fee must be sent in full at the time of application.

I, the parent/guardian/participant, in registering, understand that he/she in attending the soccer program and using the facilities does so at their own risk. By signing below, I accept full responsibility for any injury, which may arise from my child's participation in this program. I hereby release, remise, cancel, acquit and forever discharge the coaches, all heirs, executors, administrators, agents, employees, directors, officers, shareholders, members, subsidiaries, affiliates, successors and assigns from any and all past, present and/or future claims, demands, losses, damages, causes of action or other liabilities (including attorneys fees and costs in connection therewith of every nature, character, and description, known or unknown in any way growing out of, any and all personal injuries, or property damage which I/We may know or hereafter have for ourselves and as the parents and or legal guardian of said minor(s), and also for any and all claims, rights of actions or damages, which said minor(s), and have or may have hereafter resulting from participation in the soccer programs.

Parent/Guardian Name (if under 18 years of age)______Signature______Date______

Mail to: (with a stamped, addressed envelope) Marc Frankland, MVP Sports Spot, 3701 32nd St SE, Kentwood 49512 # 248-752-0844 PLAYER PROFILE PHOTO TEAM NAME ______YEAR (CIRCLE) F S J Snr JERSEY#____

PERSONAL DATA ACADEMIC DATA

Name______High School______Address______Address______Phone______Graduation Year______Major______Home GPA______Based on ______Scale Phone______ACT ______Date Taken ______Date of Birth______SAT Verbal ______SAT Math ______Height______SAT Composite ______Date Taken Weight______Father______College Interest. 1st ______2nd Mother______

Special Interests/Activities (Non-Athletic) ______

Accomplishments (Athletic) ______

Soccer Experience:

ODP State Team ______Regional State Team ______National Pool/Team ______Positions Played ______State Team Coach ______Club Team______Coach#______Club Coach______Coach email ______Coach # ______HS Coach ______Coach email ______Coach # ______HS Team Experience JV ______Varsity ______Coach email ______