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Personal Information
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Date of Birth: *
Address: *
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State:
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Parent/Guardian Contact Information
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Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
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Brother
Grandmother
Coach
Other
Spouse
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Step Sister
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Athletic Director
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Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
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
Phone: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
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Athletic Information
Height:
ft.
in.
Weight:
Recruiting Website:
Athletic Honors:
Years Played on Varsity Lacrosse:
Dominant Hand:
Athletic Injuries:
Primary Position:
Academic Information
SAT:
SAT Math:
SAT Writing:
SAT Verbal:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
ACT:
Class Rank:
Academic Honors:
Registered with Clearinghouse: *
Yes
No
Intended Major:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
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KY
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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
Website:
School Country:
Guidance Counselor's First Name:
Fax:
Guidance Counselor's Email:
Guidance Counselor's Last Name:
Guidance Counselor's Phone:
Guidance Counselor's Fax:
School Coach Information
Your Coach:
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First Name: *
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Title: *
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Club Team Information
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DE
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GA
HI
ID
IL
IN
IA
KS
KY
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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
Website:
Club Team Jersey #:
Club Team Coach Information
Your Coach:
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First Name: *
Last Name: *
Email: *
Mobile Phone: *