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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 have taken the ACT or SAT*
If yes, enter your score
Have you ever attended any other College/University?*
If yes, please write name of college or university
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 sport and position?
Can a video be made available?
Is the video online? If yes, enter URL
Upload Video