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Personal Information
Prospect Code:
First Name: *
*Required
Last Name: *
*Required
Preferred Name:
Address:
City: *
*Required
State: *
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
*Required
Zip:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Home Phone:
Mobile Phone: *
*Required
Email: *
*Required
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Facebook:
Twitter @:
Instagram @:
Snapchat :
Parent/Guardian Contact Information
Mother's First Name: *
*Required
Mother's Last Name: *
*Required
Father's First Name:
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Father's Last Name:
Mother's Phone: *
*Required
Mobile Phone:
Father's Phone:
Mother's Email:
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Father's Email:
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Mother's College:
Mother's Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Height:
ft.
in.
Age you began wrestling: *
*Required
Competition Weight: *
*Required
Goals for the season: *
*Required
Normal Weight: *
*Required
Goals for college wrestling: *
*Required
Projected College Weight Class: *
*Required
Strengths as a wrestler:: *
*Required
Fr. Year Record:
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Weaknesses as a wrestler: : *
*Required
So. Year Record:
Jr. Year Record:
Sr. Year Record:
High School (Folkstyle) Credentials:
Freestyle/Greco Credentials:
Academic Information
GPA: *
*Required
*Invalid GPA
SAT:
SAT Math:
SAT Verbal:
ACT:
Class:
High School
2-Year College
4-Year College
Post-High School, Non-College
Registered with Clearinghouse: *
Yes
No
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High School Information
School Name: *
Clear
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District:
School Address 1:
School Address 2:
School City:
School State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
School Zip:
School Country:
Phone:
Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
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Guidance Counselor's Phone:
Guidance Counselor's Fax:
High School Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name:
Last Name:
Email:
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Title:
Work Phone:
Mobile Phone: