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Athletics: Football Inquiry

Personal Information

First Name*
First Name
Middle Name
Middle Name (or initial)
Last Name*
Last Name
Address*
Address
Address (2)
Address (2)
City*
City
State*
State
Zip*
Zip
Phone*
Phone
E-mail
E-mail
Birth Date*
Please enter your Birth Date (Month, Date, Year)
Church Demonination
Church Demonination

Family Information

Father's Name
Father's Name
Father's Occupation
Father's Occupation
Mother's Name
Mother's Name
Parent's Marital Status
Married to each other
Divorced
Other
(Optional)
I live with
Both father and mother
Father
Mother
Guardian
(Optional)
List Names and Graduation Years of Younger Siblings
List name, then graduation year

Academic Information

High School*
High School currently attending
Address*
Address
Address (2)
Address (2)
City*
City
State*
State
Zip*
Zip
County*
County
Phone*
Phone
Cumulative GPA
Class Rank
# of #
SAT Math Score
SAT Math Score
SAT Verbal Score
SAT Verbal Score
ACT Score
ACT Score
Graduation Date
Graduation Date
Inteneded College Major
Inteneded College Major

Transfer Information

Are you a transfer student?
Yes
No
If yes, what college?
College Name
Address
Address 1
Address
Address 2
City
City
State
State
Zip Code
Zip Code

Football Information

Defensive Positions Played
Defensive Positions Played
Offensive Positions Played
Offensive Positions Played
Jersey Number
Number
Position(s) to be Played in College
List Positions
40-yd Speed
Time
20-yd Pro Shuttle
Time
Vertical Jump
Height
Bench 225 x
Number of Times
Height
Height
Weight
Weight
Other Varsity Sports
List Sports
Serious Injuries
List Injuries
Athletic Honors
Athletic Honors

Head Coach

Name
Coach's Name
College Attended
College Name
Phone Number
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