| Collegiate Sport Preference #1: | |
| # of JV Years: | | I am/was a starter. |
| # of V Years: | |
| Head Coach: | | Phone: |
| Preferred Position/s or Event/s: | 1. |
| 2. |
Times/Stats: | Honors: |
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| Collegiate Sport Preference #2: | |
| # of JV Years: | | I am/was a starter. |
| # of V Years: | |
| Head Coach: | | Phone: |
| Preferred Position/s or Event/s: | 1. |
| 2. |
Times/Stats: | Honors: |
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| I have tapes of games/meets/events that could be made available to your coaches. |
| I wish to compete in other sports at the collegiate level. |
| Which ones? |