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General
Information
Full
Name_________________________________ Date of Birth
_____/_____/_____
Home
Address__________________________________________________________
___________________________________________________________
Telephone
#____________________________
E-Mail__________________________
Cell Phone
# ____________________________ Can You Receive Text Msg
________
Mother____________________________
Occupation___________________________
Father_____________________________
Occupation___________________________
Academic Information
High
School:__________________________ Phone
#___________________________
ACT/SAT
Score_______________ or date planning to take test
____________________
Approximate GPA_________ Approximate Class Rank_________
College Credits______
Possible
College
Major_____________________________________________________
Other
Schools of
Interest____________________________________________________
____________________________________________________
Athletic Information
Coach______________________________ Phone
#____________________________
Ht:_________ Number:__________ Dominant Hand________
Position_________
PPG:
________ RPG: _______ Assists: _______ Steals:
________ Blocks: ________
Best
Player You’ve Played Against/School:
__________________________________
Athletic
Goals
_________________________________________________________ |