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First Name:

Last Name:

Birth Date (mm/dd/yyyy):

Street Address:

City:

State:   Zip:

Phone #:

Height:   Weight:

E-mail:

Preferred Position(s):

40 Time:     Bench:

Pro Experience (i.e. AFL, CFL, NFL):

Years Played:

College (please tell us your college even if you didn't play):

Years Played:

High School:

Years Played:

Football Awards Received:

Other Information We Should Know:

Where did you hear about the Racine Raiders? (Check as many as apply.)
Facebook Invite
Facebook Advertisement
Current Player
Former Player
Staff Member
College or High School Coach
Friend, Not Affiliated with Team
MySpace
Elite MCFL Website
Message Board
Search Engine (Google, Yahoo, Ask.com, etc.)
Flyer
Other

Which date(s) do you plan to attend?
Saturday, March 31, 2012 - 8 a.m. - Carthage College
Sunday, April 22, 2012 - 8 a.m. - Carthage College