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Women's Rowing Prospective Student-Athlete Form

Month/Year of Graduation

Name (First, M.I., Last)

Street Address

City, State, ZIP/Postal Code

Country

Area Code and Telephone Number

E-mail

Birthdate (MM/DD/YY)

Height / Weight

High School

Grade Point Average

SAT/ACT Score

Potential Major

Parent(s)/Guardian(s) Name(s)

Parent's College/University attended

Sports Played / Years Played

Coach Name/s

Coach Email Address/es

Coach Phone Number/s

Please tell us about other activities in which you are involved.

Have you applied to the NCAA Clearinghouse?
Yes
No

Do you have rowing or coxing experience? If so, list your personal bests and accolades.

Do you currently have any injuries or ailments that limit your ability to be involved in athletics?