Front Rush

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General

First Name *

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Preferred Name (name you wish to be known as)

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Last Name *

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Email Address *

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Home Address1 *

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Home Address2

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City *

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State *

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Zip *

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Contact Number

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CellPhone Number *

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Date of Birth *

Open the calendar popup.

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Gender *

Male

Female

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Race *

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US Citizen *

Yes

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Do you suffer from asthma or color blindness? *

Yes

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List any other allergies

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Club Name

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Club Coach

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Club Coach Email

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Club Coach Phone Number

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Profile Image

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How did you find out about us?

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Background

Primary Parent’s Name *

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Primary Parent’s Number *

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Primary Parent’s Email *

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Secondary Parent’s Name

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Secondary Parent’s Number

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Secondary Parent’s Email

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Academic

Graduation Year *

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High School/College

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 Critical Reading

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SAT Total

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ACT Math

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ACT Verbal

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ACT Cumulative

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Academic Honors

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Other College Choices

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NCAA Eligibility #

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Academic Awards

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Extra Curricular Activities

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Transcript (Highly Recommend Upload)

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Athletic

Event #1 Time *

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Event #2 Time

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Event #3 Time

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Event #4 Time

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Athletic Awards

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Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Main #

Secondary #

Cell #

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