Shuckers Oyster House Restaurant

Registration

Complete the application below. Once submitted a recruiting member will review your information and will be in contact with you soon.

    Student-Athlete Information

    First Name: *

    Last Name: *

    Address: *

    City: *

    State: *

    Zip: *

    Email: *

    Phone: *

    Athletic & Academic Information

    School: *

    DOB : *

    Position: *

    Shirt Size: *

    Accomplishments: *

    Family Information


    Parent Full Name: *
    Parent Phone: *
    Parent Email: *


    Parent Full Name:
    Parent Phone:
    Parent Email:

    How did you hear about us?: