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    Men's Basketball Information Form

    Please complete the form below. Please answer all questions. When you have finished, click the Submit Form button.


    Carliss Robinson, Head Basketball Coach
    3800 Charco Road
    Beeville, TX 78102 
    361-354-2350 (office) 
    361-354-2351 (fax)


    First Name   
    Last Name   
    Parent/Guardian Names   
    Home #   
    Cell #   
     E-mail Address   
    Home Address   
    City, State, and Zip   
    DOB (mm/dd/yyyy)   
    High School Graduation Date (mm/yyyy)   
    High School Name   
    High School Address   
    High School Counselor   
    HS Counselor's Number   
    Intended College Major   
    Other Academic Interests   
    High School Coach   
    High School Coach's Number     
    Summer Team(s)   
    Summer Team Coach(s)   
    Coach's Number   
    Primary Position   
    Secondary Position(s)   
    Points Per Game:   
    Rebounds Per Game: 


    Assists Per Game:   
    Free Throw Percentage:   
    Field Goal Percentage:   
    Three Point Percentage:   
    Academic and Athletic Awards/Accomplishments   
    If you have a video of your skills, please provide the link.