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First Name
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Last Name
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Date of Birth
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Cell Phone Number
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Email Address
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Home Address 1
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Home Address 2
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City
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State/Province
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Zip/Postal Code
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Country
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Graduation Year
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Reason(s) for interest in Liberty:
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Education
Hockey
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Twitter Username
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Instagram Username
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Facebook Link
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Profile Image
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Background
Parent/Guardian Name
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Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Academic
GPA
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Transcripts
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Intended Major
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Athletic
Position
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C
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F/D
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Height
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Inch
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Weight
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Shoot L or R
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Current Team:
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Current League
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Previous Team
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Previous League
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Recruiting Website
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500 characters left
Video Link(s)
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Coach Name
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Coach Phone Number
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Coach Email
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500 characters left
Other Schools/Teams You are Considering:
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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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Mother
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Relative
HS Coach
Club Coach
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Email
Main #
Secondary #
Cell #
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Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
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