STUDENT PROFILE
(please print)
------------------------------------------------------PERSONAL
INFORMATION----------------
Last Name: ________________________ First Name:
_____________
Address: _______________________ City: ________________ St:
_
Height: ______ Weight: ______ Date of Birth: _______
Parents Names: Father: __________________ Mother:
____________
Phone: (home)_______________ (work) ______________ (cell)
____
E-Mail Address: ____________________
--------------------------------------------------------------ACADEMIC------------------------------
School
Name:__________________________________________________
Address: _______________________ City: __________________ ST
Phone: ________________________ Website/e-mail address:
__________
Graduation Date: __________ GPA: ______ ACT: _____ SAT:
Class Rank: ____________ Desired major/minor:_______________
Clearinghouse Registered: yes___ no___ If so, please insert
your Clearing
Pin_____________
Curricular, clubs,
etc.,____________________________________________
_____________________________________________________________
-------------------------------------------------------------ATHLETICS-------------------------------
Bats/Throws: __________________ Years Played: ________
Primary Position: _______________ Secondary Position:
_________
Batting Average: _______________ Fielding Percentage:
______________
High School Team:
_____________________________________________
Division: ________________ Website: ________________
Coach: ______________________ Phone #: ______________
Summer Team:
________________________________________________
Coach: ______________________ Phone #: ______________
Address:_____________________ City:__________________ ST:___
Team Website: ____________________________
Page 1 of 2 Student Profile - Champions Fast Pitch Academy
10/18/2005 file://C:\Documents and Settings\Tamborra\My
Documents\Champions\website\site\stude...
----------------------------------Academic
Achievements, Honors, and Awards--------
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
-----------------------------------Athletic Achievements,
Honors, and Awards----
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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