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 Address 1

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City

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State

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Zip

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Cell Phone Number

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Graduation Year

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Twitter Username

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Profile Image

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Date of Birth

Open the calendar popup.

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Background

Parent/Guardian 1 Name

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Parent/Guardian 1 Phone Number

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Parent/Guardian 2 Name

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Parent/Guardian 2 Phone Number

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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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GPA

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SAT Total

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ACT

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Other College Choices

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Transcripts

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Athletic

Height

FeetInch

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Weight

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High School Coach Name

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High School Coach Phone Number

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High School Coach Email

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Max Bench

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Max Squat

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Max Clean

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Jersey #

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Hudl Video Link

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Are you currently living outside of California? *

Yes I AM Outside San Diego Mesa Recruit Area

No I AM NOT Outside San Diego Mesa's Recruit Area

*Please enter valid Are you currently living outside of California?

The CCCAA has very specific rules as they relate

*Please enter valid The CCCAA has very specific rules as they relate

to the recruitment of student-athletes outside of

*Please enter valid to the recruitment of student-athletes outside of

our recruiting area. I hereby certify that I am

*Please enter valid our recruiting area. I hereby certify that I am

outside of the San Diego Mesa College recruiting

*Please enter valid outside of the San Diego Mesa College recruiting

area. I was not contacted by any person

*Please enter valid area. I was not contacted by any person

representing the college prior to my completion of

*Please enter valid representing the college prior to my completion of

this recruitment form. I understand that any

*Please enter valid this recruitment form. I understand that any

misinformation will result in loss of eligibility

*Please enter valid misinformation will result in loss of eligibility

and forfeiture of contests. *

I accept and acknowledge these terms

*Please enter valid and forfeiture of contests.

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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 #

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Cell #

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