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Personal Information
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Address: *
Country:
City: *
Mobile/Alt. Phone:
Zip:
Date of Birth: *
Gender:
M
F
Facebook:
Place of Birth:
Instagram:
Twitter:
Parent/Guardian Contact Information
First Name: *
Last Name: *
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
Mobile Phone:
Email:
Occupation:
Parrent/Guardian Contact Information
First Name:
Last Name:
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
Mother
Mobile Phone:
Email:
Occupation:
Athletic Information
Height: *
ft.
in.
Weight: *
1st Event :
1st Time:
:
:
2nd Event:
2nd Time:
:
:
3rd Event:
3rd Time:
:
:
4th Event:
4th Time:
:
:
Club Team Name:
Club Team Coach:
Club Coach's Number:
Sho Size:
5
5 1/2
6
6 1/2
7
7 1/2
8
8 1/2
9
9 1/2
10
10 1/2
11
11 1/2
12
12 1/2
13
13 1/2
14
14 1/2
15
15 1/2
16
16 1/2
17 and over
Academic Information
GPA: *
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
TOEFL (International Only):
ACT:
Application Status:
Admitted
Incomplete
Not Started
Completed
SAT:
School Type: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Registered with Clearinghouse: *
Yes
No
Intended Major:
Other College's of Interest: