Front Rush

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General

First Name *

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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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Cell Phone Number *

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Date of Birth

Open the calendar popup.

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Mother's Name

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Mother's Phone Number

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Mother's Email Address

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Father's Name

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Father's Phone Number

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Father's Email Address

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Sibling(s) Name(s) / Age(s)

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PSA registered with the NCAA Clearinghouse?

Yes

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If yes, clearinghouse #

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Profile Image

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Freshman or transfer?

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Academic

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High School / College

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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 Writing

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SAT Total

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ACT

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Academic Honors

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Transcripts

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Intended Major

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Other College Choices

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Athletic

Height

FeetInch

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Weight

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Athletic Awards

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Club Team Name

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Club Team Coach's Name

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Club Team Coach's Email

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Club Team Coach's Phone

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Other

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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.

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