QUESTIONNAIRE

EMAIL *

FIRST NAME *

LAST NAME *

DATE OF BIRTH *

HOME ADDRESS *

PARENT(S) EMAIL *

PARENT(S) PHONE NUMBER *

STUDENT-ATHLETE EMAIL ADDRESS *

STUDENT-ATHLETE PHONE NUMBER *

HEIGHT *

WINGSPAN *

WEIGHT *

Upload on a PDF or image format all your originals transcripts since 9th grade *

Drag and Drop (or) Choose Files

Upload on a PDF or image format a scan/picture of your passport *

No file chosen

PASSPORT EXPIRATION DATE *

Upload on a PDF or image format a scan/picture of your immunization record *

No file chosen

CURRENT SCHOOL NAME *

CURRENT GPA *

HIGH SCHOOL GRADUATION *

SPORT POSITION *

CURRENT CLUB/SCHOOL TEAM NAME *

STATISTICS *

HIGHLIGHTS VIDEO LINK *

FULL GAME VIDEO LINK

WHAT TYPE OF STRUCTURES ARE YOU LOOKING FOR ? *

ANNUAL BUDGET *

DID YOU EVER SIGNED IN ANY SPORT AGENT/AGENCY? *YesNo

DID YOU EVER SIGNED A PRO CONTRACT *YesNo

EXPLAIN YOUR PROJECT IN A FEW SENTENCES *

Consent *

By submitting this form, I agree that my information will be used exclusively in connection with my request and the ethical and personalized business relationship that could result from it.

Consent *

I HAVE READ THE PATSMAN REPRESENTATION AGREEMENT AND I UNDERSTAND THAT PLACEMENT FEES WILL BE REQUESTED FROM ME

NOTICES

Important notice: I understand that PATSMAN services are subject to fees. Please
check on PATSMAN fees

DATA PROTECTION
Please read our privacy and cookies policies on our website and agree on the followings

* I have read and accept the privacy and cookies policies
IMPORTANT/IMPORTANTE
The company responsible for the file, Coaches & Scouts Company S.L., collects this data
through Google Forms in order to help users with questions and concerns. By checking the
acceptance box you give your consent. This information will be stored on Google's servers.
You can see their privacy policy at https://policies.google.com/privacy?hl=en-US.