Please do NOT mail this form. It must be done via email.
Please print and email to PIAA or copy and paste information into the body of an email.
Please email photo in .jpg
email to doris@pacificathleticalliance.com
Membership fee can be paid online below or sent via mail. Please read instructions below
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PACIFIC ISLANDS ATHLETIC ALLIANCE INFORMATION SHEET

www.pacificathleticalliance.com

All information must be neatly printed and accurate. Class of 2011, 2012, 2013 and 2014 only please

NAME____________________________________________________________Graduation Year ___________

Address_____________________________________________City_______________________Zip__________

Home Phone__________________________________cell/other________________________________________

e-mail______________________________________________________________________________________

School___________________________________________________Core GPA_____ or Cumulative GPA_______

SAT - Math_______Verbal_______Essay________ ACT______

Primary Sport____________________________Position(s)__________________________________Jersey # ____

Club Team___________________________________________

Athletic (awards for 10th grade and up for incoming seniors; 9th grade and up for all others)
& Academic Awards (9th grade & up): Include Year rec'd:______________________________________________________

____________________________________________________________________________________________

Other sports played____________________________________

Camps/clinic/combines (Hawaii and Mainland, please include year participated) (Please do NOT put in anything from when you
played Pop Warner. If incoming senior, only enter info from 10th grade and up)

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Please provide your stats specific to your sport and position via e-mail do doris@pacificathleticalliance.com

LEGITIMATE (ALL ATHLETES) Height______Weight______

(FB only) 40 speed______ Bench Max ______Bench Reps______x_______ Vertical Leap_____________

If you participated in the PIAA combine, results will be taken from this event unless you show documentation of better times
at another event during the same year or after.

Girls Bowling:  average______     Tennis Ranking & record: ____________

Girls Wrestling Record: W____ L____ Pins____

Track & Field:  Best Event____________Top Time/Distance____________

Swim: Best event:______Best Time______, 2nd event________Time______

SOFTBALL- Position___________ Secondary position___________________

(VB & Girls Basketball only) wingspan___________standing reach (tip of fingers to toes)_________

vertical (indicate standing or 3 step) _____________________

(IMPORTANT: LIST AVAILABLE STATS IN BODY OF EMAIL)

Standing vert_____________ Approach Jump____________

H.S. Coaches name_____________________________________________________

Coaches phone____________________________e-mail_________________________

Club Coaches name_______________________________________________________

Club Coaches phone___________________________email__________________________


Coach prefers e-mail   or   phone  posted on internet (circle one, both or none)
You should call coach and ask permission to post his/her name and number without signature, and notify him/her that they will be the primary
contact for college coaches .

All student athletes who participate in having their profiles posted should have stats and video tape readily available if a college coach calls. Student phone numbers will not be posted on the internet.  For safety reasons the coach listed will be primary contact. Academic information will not be posted.  However, we may fill in “excellent student” “academically eligible” or other such terms when appropriate. Sports specific recruiting sheets with students name, contact information, basic recruiting information, coaches name and contact information will be emailed to hundreds of schools throughout the year.

Posting of student profile is optional. There is a one time membership fee of $60. If you chose not to post your profile but still would like
to be on the PIAA recruiting sheet, the $60 membership fee does apply.

I hereby give my permission for my son/daughters (if under 18 years of age) profile to be added to the PIAA website and recruiting sheet

Parent name__________________________________________Home Phone_________________________________________

Parent Signature___________________________________________

Parent Cell or other_________________________________

Please mail $60 membership fee payable to PIAA to
PIAA
P.O. Box 971771
Waipahu, HI 96797

or pay securely on line by credit card or check with pay pal

We are pleased that satisfied parents, athletes and coaches endorse PIAA. However, any representations made by parents of PIAA athletes or other interested parties do not reflect the thoughts, opinions or ideas of PIAA.
Any representations made by anyone other than Doris Sullivan or TJ Cuaresma should be referred back to PIAA immediately.