Women's Basketball Information Form - Golden Eagle Athletics

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Request for Women's Basketball Information Complete this form and submit it to receive more information.


Last Name:
First Name:
Mailing Address:
City:
State:
Zip/Postal Code:
Country:
Phone:	(Including Area Code)
E-mail:
Birth Date:
Father's name:
Occupation:
Mother's name:
Occupation:
Height:
Weight:
Academic Information
Current Academic Status:
HS freshman	HS sophomore	HS junior
HS senior	HS grad	College transfer
College Attended:
High School Attended:
High School Coach:
High School Phone:
Academic Interest:
Have you registered with the NCAA Clearing House?:	Yes No
Clearing House Pin#:
Other Sports Played:

Basketball Info

Positions Played:
Dominate Hand:

Statistics
PPG:
FG%:
REBS:
FT%:
Asst:
Steals:
Team Records:
# of Years Lettered:
Film Available:		Yes No

Visiting UMC
Would you like to visit UMC?:		Yes No
Proposed Visit Date:		[ChooseOne]
Best Day/Time to be reached:
Interest in applying for Financial Aid?:		Yes No

Any additional comments or questions?


Note: When submitted, your request will be forwarded to the UMC Head Women's Basketball Coach.

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