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GENERAL INFORMATION:
First Name:
Middle Initial:
Last Name:
Telephone:
Address:
City:
State:
Zip:
Email Address:
Mother/Guardian:
Occupation:
Business Phone:
Father/Guardian:
Occupation:
Business Phone:
Brothers:
Sisters:
Date of Birth:
Age:
ACADEMIC INFORMATION:
Name of High School:
Guidance Counselor:
Telehone:
High school graduation date:
S.A.T. Scores:
CR:
M:
W:
ACT Score:
Class Rank:
out of
GPA:
Please list your academic interest(s) or major field(s) of study:
ATHLETIC INFORMATION:
Coach:
Home Phone:
Office Phone:
1. Best Event:
Best Time:
2. Best Event:
Best Time:
3. Best Event:
Best Time:
4. Best Event:
Best Time:
5. Best Event:
Best Time:
6. Best Event:
Best Time:
7. Best Event:
Best Time:
8. Best Event:
Best Time:
Additional Information:
Other sports played in high school:
What other varsity sports do you want to play in college?