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Personal Information
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First Name: *
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Middle Name:
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Gender:
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Email: *
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Date of Birth: *
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Parent/Guardian Contact Information
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
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Other
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Athletic Director
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Occupation:
Email:
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Mobile Phone: *
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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: *
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Mobile Phone:
Email:
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College Attended:
Occupation:
Employer:
Work Phone:
Extension:
Academic Information
HS/Junior College Name: *
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School Phone:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
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Address1: *
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City: *
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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
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Zip:
Counselor's Last Name:
Counselor's First Name:
Counselor's Phone:
SAT Math:
SAT Verbal:
ACT:
Class Rank:
GPA: *
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Intended Major:
Registered with Clearinghouse: *
Yes
No
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NCAA ID:
Athletic Information
Your Coach:
Select your head coach
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First Name: *
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Last Name: *
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Title: *
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Email:
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Mobile Phone:
Work Phone:
Event Category:
Sprints
Distance
Throws
Jumps
Personal Best: *
Height:
ft.
in.
Weight: *
*Required
Other Varsity Sports: