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Sport of Interest
Full Name
Date of Birth (MM/DD/YYYY)
Email Address
Phone Number (123-456-7890)
Street Address
Zip Code
High School Attended
High School City and State
Year of High School Graduation
Parents Name
Parents Phone Number
Academic Area of Interest
High School GPA
Please indicate whether you took the ACT or SAT
Have you ever attended any other College/University? If yes, where?
Position Played
High School Coach's Name
High School Coach's Phone Number
Athletic Honors
What makes you a great athlete?
What trait(s) do you possess that would make you a great addition to our LRSC athletic team?
What will make you successful at LRSC?
Do you play any other sports? If yes, what position played
Can a video be made available?