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Personal Information

First Name
Last Name
Address
City
ST
Zip
If from outside the US, enter address here
Home Phone Number
Cell Phone Number
Email Address
Date of Birth (MM/DD/YYYY)
Father's Name
Mother's Name
Guardian's Name
Names of Brothers/Sisters
Alderson-Broaddus Alumni You Know
What is the best time to contact you?	Morning Afternoon Evening Night
How would you like to be contacted (Phone, email, text, social media, etc.)?

Academic Information

High School
Address
City
ST
Zip
High School Coach
Coach's Phone Number
Coach's Email Address
High School Graduation Date
GPA
Intended College Major
SAT Math Score
SAT Verbal/Reading Score
ACT Composite Score
Academic Honors/Awards

Athletic Information

Height
Weight Class
Off-Season Weight
Other Sports Played
Have you registered with the NCAA Clearinghouse?	Yes No
High School Awards/Honors

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