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Contact Information (Please Answer All Fields)
Last Name:
First Name:
Middle Name:
Position:
Uniform Number:
Street/P.O. Box:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
SS#:
Height:
Weight:
Year of Graduation:
Father's Name:
Mother's Name:
Dad's Occupation:
Mom's Occupation:
Parent's Phone:
High School/J.C.:
School Address:
City:
State:
Zip:
School Phone:
Counselor's Name:
Academic Information
Grade Point Avg.:
Hours Passed:
SAT Score:
ACT Score:
Have you filed with the NCAA Clearinghouse?
Clearinghouse ID:
Intended Major:
Academic Honors:
Coaches & Team Information
Club Team:
Club Coach:
Phone:
Email:
Tournaments Attending:
ODP Level/Year:
High School Coach:
Phone:
Recent Record:
J. C. Coach:
Phone:
Recent Record:
Uniform Number:
Statistical Information
Goals:
Assists:
Time in 40 yards:
Additional Comments
Comments:
After completing this form click the submit button below to send your information to our coaching staff. Thanks for your interest in MHC Athletics.

 

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Rick Baker,
Sports Information
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150 Years of Academic Excellence
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