Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1 *
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Home Address2
*Please enter valid Home Address2
City *
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State *
*Please enter valid State
Zip *
*Please enter valid Zip
Date of Birth
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Contact Number *
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Cell Phone Number
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Graduation Year *
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Preferred Way to Contact
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Background

Mother's Name
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Mother's Email
*Please enter valid Mother's Email
Mother's Phone Number
*Please enter valid Mother's Phone Number
Father's Name
*Please enter valid Father's Name
Father's Email
*Please enter valid Father's Email
Father's Phone Number
*Please enter valid Father's Phone Number
Do You Know Any Elmira Students
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Do You Know Any Elmira Alumni
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Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
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Class Rank
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GPA
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SAT Math
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SAT Verbal
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SAT Total
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ACT
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Academic Honors
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Intended Major
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Other College Choices
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Athletic

Position






*Please enter valid Position
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Dominant Hand
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High School Jersey Number
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High School Coach's Name
*Please enter valid High School Coach's Name
High School Coach's Email
*Please enter valid High School Coach's Email
High School Coach's Phone Number
*Please enter valid High School Coach's Phone Number
Club Team
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Club Team Coach's Name
*Please enter valid Club Team Coach's Name
Club Team Coach's Email
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Club Team Coach's Phone Number
*Please enter valid Club Team Coach's Phone Number
Recruiting Showcases you are Planning on Attending
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Submitted Video

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Other Sports Played





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