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Personal Information
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Parent/Guardian Contact Information
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Relationship: *
Father
Mother
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Neighbor
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Mobile Phone:
Email:
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Athletic Information
Height: *
ft.
in.
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Weight: *
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Position: *
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School Information
School Name: *
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City: *
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State:
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AR
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AZ
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DE
FL
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MA
MI
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MS
MO
MT
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NH
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OR
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RI
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SD
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UT
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NU
ON
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Academic Information
SAT:
SAT Math:
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ACT:
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Grad Year: *
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Registered with Clearinghouse: *
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School Coach Information
Your Coach:
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Last Name: *
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Title: *
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Work Phone:
Mobile Phone:
Club Team Information
Club Team Name:
Coach First Name:
Coach Last Name:
Email:
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Telephone Number:
Highest Level of ODP/National Team Experience: