2022-2023 Combine Academy Application

INTRODUCTION
Online Application for Admissions

Welcome to the Combine Academy Online Application for Admissions. Please follow the steps below to apply. If you don't have all the necessary information, you can return to the application at anytime.
1. Click "Next >" on this page, and enter the information requested by the online forms. Note: Required fields are marked with a red asterisk, and Combine Academy will receive the data exactly as it is entered. Please be careful of spelling, capitalization, and punctuation.
2. Enter the necessary payment information (Application Fee: $25.00).
3. Click "Submit!"
Online Application for Admissions for Additional Students

An Online Application for Admissions must be submitted for each student in your family. Once you have successfully submitted one Application, you will have the opportunity to begin another application.

Program Location *
Program Interest *
Housing Option *

Boarding Non-Boarding
Full Name *

First Name Last Name
E-mail *
Phone Number *

Country Code Area Code Phone Number
Gender *
Age *
Height
Weight
Position
Colleges Recruiting You
If not applicable, type N/A
HS Head Coach Full Name

First Name Last Name
HS Head Coach E-mail
HS Head Coach Phone Number

Country Code Area Code Phone Number
HS Assistant Coach Full Name

First Name Last Name
HS Assistant Coach E-mail
HS Assistant Coach Phone Number

Country Code Area Code Phone Number
AAU/Club Head Coach Full Name

First Name Last Name
AAU/Club Head Coach E-mail
AAU/Club Head Coach Phone Number

Country Code Area Code Phone Number
Highlight Tape
Please copy & paste the link to your video in the box above
Athletic Accomplishments & Awards
If not applicable, type N/A

STUDENT/PARENT AGREEMENT

I understand that this application for admission will not be considered complete until my school transcript, proof of health insurance, official test scores (if applicable), non-refundable application fee, financial documents, and individualized needs documents have been received by Combine Charlotte, LLC.

I aknowledge that the information presented on this application is complete, correct and truthful, and I am willing to abide by the rules and regulations set forth by Combine Charlotte, LLC. If anything is found to be untrue, Combine Charlotte, LLC reserves the right to revoke any offer of admission and, subsequently, remove the student from the Academy without refund.

Applicants of Combine Charlotte, LLC will be considered without regard to race, color, creed, sex, gender, sexual preference or orientation, disability, or national origin.

The electronic signature below and its related fields are treated by Combine Charlotte, LLC like a physical handwritten signature on a paper form.
Applicant Signature
I agree to these terms *
Electronic Signature *
Type full name of applicant
Date *
Enter Date in mm/dd/yyyy format
Parent/Guardian Signature
I agree to these terms *
Electronic Signature *
Type full name of applicant
Date *
Enter Date in mm/dd/yyyy format
APPLICATION PAYMENT SUBMISSION

All Credit Card/Debit Card Charges require a 3.5% Service Fee. *

Combine Academy Application Fee $ 25.00

Enter coupon

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How did you hear about us? *

Social Media Referred by Someone Received an Email Website/Yelp/Google
If you were contacted by a Combine Coach, which one? *
Signature *
Should be Empty: