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Personal Information
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Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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I live with:
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My Parents Are:
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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
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Guardian
Aunt
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Home Phone: *
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Extension:
College Attended:
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Employer:
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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
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Phone: *
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Mobile Phone:
Work Phone:
Extension:
College Attended:
Occupation:
Employer:
Athletic Information
Height: *
ft.
in.
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Weight: *
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Power Clean:
Jersey Number:
Bench:
Injuries:
Athletic Honors:
Offensive Position:
Defensive Position:
Special Teams:
40 Time:
100 Time:
Vertical Jump:
ft.
in.
Squat:
Academic Information
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ACT:
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Grad Year: *
2020
2021
2022
2023
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2026
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2030
2031
2032
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Class: *
High School
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Class Rank:
Intended Major:
Registered with Clearinghouse: *
Yes
No
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1st College Preference:
2nd College Preference:
3rd College Preference:
School Coach Information
Your Coach:
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School Information
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Address2:
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OR
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SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
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AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
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Guidance Counselor's Phone:
Guidance Counselor's Fax: