I think many top programs from outside the hotbeds have a handful (or two) of kids too old for a 9/1 cutoff. Md may do it more than LI, but unfortunately it's pretty common. Holdbacks, though, appears to be more of a prep school issue, whether Md., the NE or boarding schools.
I would agree that it is in other areas as well.But to a lesser extent and more spread out. Baltimore has 6 private MIAA schools within 15-20 minuets of each other. I suspect all these holdbacks/prefirsts in one area leads to a concentration unlike other areas. Crabs, FCA, Breakers,etc all practice at these schools and of course get many of these players.
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