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Personal Information

First Name: *

Last Name: *

Preferred Name:

Email: *

Secondary Email:

Address: *

City: *

State:

Zip:

Country:

Home Phone: *

Cell Phone:

Date of Birth: *

Height:

ft.in.

Twitter:

Instagram:

Parent/Guardian Contact Information

First Name: *

Last Name: *

Relationship: *

Phone: *

Mobile Phone:

Email:

Parent/Guardian Contact Information

First Name: *

Last Name: *

Relationship: *

Phone: *

Mobile Phone:

Email:

Athletic Information

What are your career goals?::

Strengths of my golf game::

Weaknesses of my golf game::

Golf Instructor:

Golf Instructor E-mail:

Golf Instructor Phone::

Average Score:

Most Recent Competition Score:

Lowest Competitive Round::

Academic Information

SAT:

SAT Math:

SAT Verbal:

ACT:

GPA:

Eligibility Center ID:

Class: *

Grad Year: *

Intended Major:

High School Information

School Name: *

Clear

School Address 1: *

School Address 2:

School City: *

School State:

School Zip:

Phone:

High School Coach Information

Your Coach:

High School Coach First Name: *

*Required

High School Coach Last Name: *

*Required

Email:

Mobile Phone: