Soccer Interest Form (Men and Women)
General Information
First Name 
Middle Name
Last Name 
Preferred Name 
Address 
City 
State 
Zip 
Home Phone  (xxx) xxx-xxxx
Cell Phone (xxx) xxx-xxxx
Email 
Gender 
Birth Date  mm/dd/yyyy
Church 
Parent Information
Father's Name
Occupation
Email
Mother's Name
Occupation
Email
Soccer Player Information
High School/College 
City 
State 
Graduation Year
Year in School 
Potential Major
GPA
SAT Score
ACT Score
Height
Weight
Class Rank Your number in class
Other schools that have contacted you
High School Soccer Information
Team Name
Position(s) 
Team Record
Years Played
Team Honors
Coach's Name 
Coach's Email
Coach's Office Number 
Coach's Home Number
Coach's Cell Number
Club Soccer Information
Team Name
Position(s)
Years Played
Team Record
Team Honors
Coach's Name
Coach's Email
Coach's Office Number
Coach's Home Number
Coach's Cell Number
 
 
 
 
Directions

This form is intended for students who may be interested in playing soccer at Covenant. After you complete this form, we will send you more information about Covenant's soccer program.

Required fields are marked with an asterisk ().

14049 Scenic Highway, Lookout Mountain, GA 30750 | 888.451.2683