Athletes Name: _______________________________________  

Year of Graduation: ____________________________________

High School Name: ________________________________________________________

Sport: ____________________________ Position: _______________________________

Address: _________________________________________________________________

              _________________________________________________________________

City: _____________________________________ State: ________ Zip: ______________

Phone Number: ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___

List the colleges you are interested in attending:

Gold - 75     Silver - 50     Bronze - 25

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________ 

If you need more room, attach additional pages with your request

Mail this form (with your check payable to Athletes OnLine)To
             
Athletes Online, Inc.
110 Midland Avenue
Suite 16 B
Midland Park, NJ 07432