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Potential Student-Athlete Form

Please fill out the form below as completely as possible. The form does not need to be complete, however the fields with an asterisk (*) must be filled out.

General Information

First Name

Last Name

E-mail Address

Street Address

City, State, Zip

Phone Number

High School

Graduation Date

Birth Date

Social Security #

SAT Math

SAT Writing

SAT Critical Reading

Rowing INFORMATION

Height

Weight

Side

Coach's Name

Coach's E-Mail

Erg Scores

6,000m

2,000m

Rowing and other athletic achievements, comments