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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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Contact Number
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CellPhone Number
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Graduation Year
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Position
Center
Left Wing
Right Wing
Left Defense
Right Defense
Fwd / Def
Goalie
Wing / Center
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Profile Image
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Background
Years Attended
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Degree(s) Earned
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Awards Received While Attending School
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Occupation
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Company
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Title
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Work Phone Number
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Professional Affiliations
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Charities
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Spouses Name
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Children
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Participated in Alumni Game (yes/no)
Yes
No
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Golf
Yes
No
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Years Returned
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Professional Hockey
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Years
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Team and League
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Still involved in hockey
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No
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Level
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Years Experience
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Future Goals
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Best Hockey Moment
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Athletic
Bench
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Squat Thrust
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Hang Clean
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Pull Up
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Dips
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Push Up
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Front Squat
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Mile
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200 M
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200 M Recovery
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200 M Difference
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10 Yard
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Pro Agility
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Vertical
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Body Fat
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Wingate Peak Power
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Wingate Average Power
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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
Mother
Father
Guardian
Sibling
Grandparent
Relative
HS Coach
Club Coach
Athletic Director
Scout/Recruiter
Trainer
Mentor
Guidance Counselor
Teacher
Friend
Other
Email
Main #
Secondary #
Cell #
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Invalid Email
Invalid Main
Invalid Secondary
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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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