Stay In The Game, Inc. - Student Information Request

If you are a student who is interested in participating in our program, please fill out the form and hit the Submit button. You will be contacted by a staff member after receiving your information.

* Fields are Required. If these are not completed your form will NOT be processed


*First Name:		*Last Name:
*Email:		*Male or Female:
*Mail Address:		*City:
*Phone:		*Zip Code:

*Birthdate:

*Height:		*Weight:
Position(s) Played:
Scoring Avg:		Rebound Avg:
Assist Avg:		Freethrow %:
		3 Point %:

Athletic Awards:

School:		Current Grade:
ACT Score:		Cumulative GPA:
SAT Score:		Class Rank:
Career Interests:

	Stay In The Game, Inc.
	www.sitg.org