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Personal Information
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*You must enter the date in the format: mm/dd/yyyy
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Parent/Guardian Contact Information
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Last Name: *
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Relationship: *
Father
Mother
Alternate
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Athletic Director
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Mobile Phone:
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College Name:
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Employer:
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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
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Cousin
Husband
Club Director
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Athletic Director
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Employer:
Athletic Information
Height: *
ft.
in.
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Event 1:
Weight: *
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Event 1 Best Mark:
:
:
Event Discipline:
Sprints/Hurdles
Jumps/Multis
Throwers
Distance
Pole Vault
Event 2:
Favorite Event:
Event 2 Best Mark:
:
:
# Years Competing in Track:
Event 3:
# Years Competing in Cross Country:
Event 3 Best Mark:
:
:
Cross Country Event 1:
1600m
3200m
5000m
2 mile
3 mile
4K
5K
Cross Country Event 1 Best Mark:
:
:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
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Grad Year: *
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2030
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Registered with Clearinghouse: *
Yes
No
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NCAA ID:
Intended Major:
School Information
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WV
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DC
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NB
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NS
NT
NU
ON
PE
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UN
YT
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VI
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Guidance Counselor's Last Name:
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School Coach Information
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