National Teams Nomination Request Form

Athlete Information

First Name

Last Name

Athlete Email

Street Address

City

State

Zip Code

Name of School

Athlete Date of Birth

Athlete Phone Number

Athlete Position

Grade level in upcoming school year

Graduation Year:

How many years have you played Football?

Copy Your HUDL link here

Select Regional location(s) of interest

Dallas, TX	Minneapolis, MN
Bay Area, CA	Phoenix, AZ
Indianapolis, IN	Charlotte, NC
Los Angeles, CA	Houston, TX
Edison, NJ	Baltimore, MD
Seattle, WA	San Antonio/Austin, TX
Atlanta, GA	Chicago, IL
New England	Kansas City, MO
Denver, CO

Parent/Guardian Information

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Nominator Information

Describe your relationship to the player

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First Name

Last Name

Email

Phone Number

US National Team staff will respond to this nomination beginning in December. If you have any questions please feel free to email: teamusa@usafootball.com

Contact Information