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Women's Gymnastics Student-Athlete Form
Courtesy: Arizona Athletics
Release: 06/22/2004
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PERSONAL INFORMATION

Today's Date

Full Name

Address

City

State

Zip

Home Phone

Email Address

Social Security Number

Birthdate

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation


ACADEMIC INFORMATION

High School

Address

City

State

Zip Code

Phone Number

Graduation Date

Act Score

Act: Date Taken

1st SAT: Verbal

1st SAT: Math

1st SAT: Total

1st SAT: Date Taken

2nd SAT: Verbal

2nd SAT: Math

2nd SAT: Total

2nd SAT: Date Taken

GPA

GPA Scale

Class Rank

Number in Class

Desired Course of Study

Have you registered with the NCAA Clearinghouse?


ATHLETIC INFORMATION

Name of private club

Address

City

State

Zip

Phone

Coach

Coach's Phone

Additional Coach

Coach's Phone

Best Events

Favorite Events

Least Favorite Events

Chronic/Nagging Injuries

Serious Injuries You've Had

Do any of the above injuries still cause problems or alter workout?


Scores

1998 Season Average Scores

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Last Season's Top Scores (Optional)

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These scores are from:

USA Gymnastics Region

USA Gymnastics Level

Regionals (Optional)

Placement

Level

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