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  Midas Athletics Registration Form
 
 

 

First and Last Name:
DOB: mm/dd/yyyy
Street Address, City, State, Zip Code:
Home Phone # (XXX-XXX-XXXX)
Cell Phone # (XXX-XXX-XXXX)
Email Address:
School Name:
School Street Address, City, State, Zip Code:
Current Grade
Student Ethnicity:
Student Height:
Student Weight:
GPA: (out of 4.0)
SAT Scores(s)
ACT Scores(s)
Retaking?
Parent/Guardian Full Name:
Highest Grade Completed/ Where:
Full Street Address, City, State, Zip Code: (If Different From Above):
Home Phone # (XXX-XXX-XXXX):
Email:
Emergency Contact Name:
Emergency Contact # (XXX-XXX-XXXX):
Potential College Major(s):
Current Coach Full Name:
Coach Phone # (XXX-XXX-XXXX):
Coach Email:
List any current Jobs/ Hobbies/ etc.
List three words that describe yourself when playing your sport?
List three words that describe yourself when NOT playing your sport?
Additional information you would want a recruiter to know:

   
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