Gray Shirt Application Form

Application Fee $20.
Gray Shirt Program $1500 monthly (Ten month commitment)

Student Athlete Name*

Contact Phone*

Contact Email*

Address 1*

Address 2

City*

State*

Zip Code*

Name of High School

Date of Birth*

High School Weight*

College Projected Weight*

Graduation Date*

High School GPA*

Please upload or email your high school transcripts and/or test scores.
Sammie Henson's email address is: sammiegold@gmail.com

High School Rank

Planned College Major

Mother's Name*

Mother's Phone Number*

Mother's Email Address

Father's Name*

Father's Phone Number*

Father's Email Address

Coach's Name*

Coach's Phone Number*

Coach's Email Address

Student athlete must enroll in 6 hours at a local community college or university. Student athlete will be considered part time student. Family of student athlete will handle the university application process, tuition fees, room and board. Sammie Henson will guide the student athlete to the appropriate university.

Are you committed to a specific community college or university?
 Yes No

If you answered 'Yes', please name the community college or university.

If you answered 'No', please list your top 5 community college or university choices.

Please list your character references here.*

Additional Information

*Required Fields

After submitting your application, please click this link to pay the $20 Gray Shirt application fee.

*Pay Gray Shirt Application Fee