"Clash of the Carolinas"
Nomination Form

Nominations must be submitted to Mark Kadlecik by March 24th, 2010.
Incomplete nominations forms will not be accepted.
Players nominated must be current seniors.
Players must be nominated by a Head Coach who is a current member of the NCSCA.
Only schools who participate under NCHSAA guidelines may nominate their players (NCSCA Regions 3-11)
THE BOYS TEAM WILL BE SELECTED FROM THE NCSCA ALL-STATE TEAMS.

Player's Name:          
School Name:      
Player's Primary Position:          
Player's Secondary Position: 

Player's Address:   
City:                                     
State:                                                          
Zip Code:                
                                          
School Address: 
City:                   
State:                 
Zip Code:            

Player's Phone Numbers:                                                       
Home:                                             
Cell:                                                

Player's E-mail Address:
Primary:     
Secondary: 

Player's High School/Club/ODP Honors & Statistics etc:
 

Head Coach's Name:                
Head Coach's Home Address: 
City:                                          
State:                                      
Zip Code:                               

Head Coach's Phone Numbers:                             
Home:                            
Work: 
Cell:    

Head Coach's E-mail Address:
Primary:      
Secondary: 

I hereby certify the following with my signature below:

1)  The player nominated above is a current senior and will graduate at the end of the spring semester this school year.
2)  The player nominated above will demonstrate good moral character on & off the field in representing NC and our school.
3)  In my opinion, the player nominated above is one of the top 18 players in the state of NC.
4)  If the player nominated above is chosen, it is my responsibility to make sure the player is ready and will show up for this event.

    Head Coach's Signature:  
 

By pressing the SUBMIT button, a copy of this will be sent to Mark Kadlecik by e-mail.