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Personal Information
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Parent/Guardian Contact Information
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
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Uncle
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Athletic Director
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Employer:
Work Phone:
Extension:
Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Home Phone: *
*Required
Mobile Phone:
Email:
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College Attended:
Occupation:
Employer:
Work Phone:
Extension:
Athletic Information
Height: *
ft.
in.
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Weight: *
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Assists Per Game:
Position 1:
Field Goal Percentage:
Position 2:
Shots Per Game:
Steals Per Game:
Points Per Game:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
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2032
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Registered with Clearinghouse: *
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No
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Intended Major:
1st College Preference:
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School Information
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MS
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WA
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WI
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ON
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VI
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AAU/Club Team Information
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State: *
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MS
MO
MT
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NY
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ND
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OK
OR
PA
RI
SC
SD
TN
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UT
VT
VA
WA
WV
WI
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AE
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DC
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NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
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Fax:
Website:
AAU/Club Team Coach Information
Your Coach:
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