Front Rush

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General

Legal First Name *

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Last Name *

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Middle Name

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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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Country

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Email Address *

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Cell Phone Number

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Country of Citizenship

USA

Other

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If other-list here

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Date of Birth *

Open the calendar popup.

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High School Graduation Year *

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Profile Image

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Background

Parent/Guardian 1 Name

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Parent/Guardian 1 Phone Number

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Parent/Guardian 1 Email Address

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Parent/Guardian 1 Occupation

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Parent/Guardian 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Parent/Guardian 2 Occupation

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Have any of the following graduated from JWU?

Parent

Sibling

Relative

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If a relative- what relation?

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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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Class Rank

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GPA

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SAT

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ACT

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Potential Major *

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Visit jwu.edu for Full List of Majors by Campus

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Are you a transfer student?

Yes

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Other College Choices

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Athletic

Height

FeetInch

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Weight

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Recruiting Website

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Video Link

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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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AAU Team Name

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AAU Coach Name

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AAU Coach Phone Number

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AAU Coach Email

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I am intereseted in hearing about sports camps in my area through Ryzer.
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The data in Ryzer is subject to their data privacy policy. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.

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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