Front Rush

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General

Legal First Name *

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Preferred Name *

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Middle 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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Country

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Contact Number

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Cell Phone Number

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Graduation Year *

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Date of Birth *

Open the calendar popup.

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Profile Image

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Day Visit

Open the calendar popup.

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Preferred Contact Method

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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 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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

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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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School Phone Number

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Counselor's Name

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Counselor's Email

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Class Rank

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GPA

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Academic Honors

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Intended Major

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Has Applied?

Yes

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Student Type

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Entry Term

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Academic Interest

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Other College Attending

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Top College Choice 1

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Top College Choice 2

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Top College Choice 3

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Athletic

Position

Attack

Midfield

Defense

Goalie

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Recruiting Website

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YouTube Link

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Tournaments Attending

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I am intereseted in hearing about sports camps in my area through Ryzer.
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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 #

Secondary #

Cell #

Questionnaires