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
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Contact Number
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CellPhone Number
*Please enter valid CellPhone Number
Date of Birth
*Please enter valid Date of Birth
Church Affiliation
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Background

Mother's Name
*Please enter valid Mother's Name
Father's Name
*Please enter valid Father's Name
Siblings
*Please enter valid Siblings
High School Coach
*Please enter valid High School Coach
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
Academic

Graduation Year
*Please enter valid Graduation Year
High School/College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School/College
School Phone Number
*Please enter valid School Phone Number
Class Rank
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GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
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ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Transcripts
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Intended Major
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Other College Choices
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Athletic

College Weight Class
*Please enter valid College Weight Class
High School Weight Class
*Please enter valid High School Weight Class
College Weight thinking of Wrestling
*Please enter valid College Weight thinking of Wrestling
High School Record
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Freshman Yr
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Sophmore Yr
*Please enter valid Sophmore Yr
Junior Yr
*Please enter valid Junior Yr
Senior Yr
*Please enter valid Senior Yr
Athletic Honors Attained in Wrestling
*Please enter valid Athletic Honors Attained in Wrestling
High School Coach Name
*Please enter valid High School Coach Name
High School Coach's Phone Number
*Please enter valid High School Coach's Phone Number
Post Season Accomplishments
*Please enter valid Post Season Accomplishments