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Men's Water Polo Recruitment Form

YOUR PERSONAL INFORMATION:
First Name:
Middle Initial:
Last Name:
Email: Example: jdoe@domainname.com

Home Phone (include area code):
Cell Phone (include area code):
Best Time and Day to Call:
Street Address:
City:
State:
Zip Code:
Date of Birth: (MM/DD/YYYY)

HIGH SCHOOL INFORMATION:
Position:
Swim Times for 100 Free:
Name of High School:
City of High School:
Year Graduated:
High School Coach:
Comments:
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