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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Home Phone Number

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Cell Phone Number *

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Graduation Year *

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Relatives in Greensburg, PA

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Twitter Username

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Profile Image

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Background

Date of Birth *

Open the calendar popup.

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Mother's Name

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Mother's Occupation

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Mother's College

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Father's Name

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Father's Occupation

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Father's College

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Parent Email Address

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Siblings

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Siblings at Home

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Siblings in College

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Have you applied?

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Other Sports Played

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Athletic

Height

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Weight

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Recruiting Website

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Video Link

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High School Coach

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HS Coach Cell Phone

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HS Coach Email

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AAU Team

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AAU Coach Cell Phone

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Upcoming Tournaments/Camps

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Academic

High School/College

School Name

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Address3

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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 TOTAL

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ACT

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Intended Major

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Other colleges you are interested in

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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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