| Name:* |
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| Email Address* |
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| Phone |
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| Best time to call |
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| Sex |
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| height (ft)* |
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| height (in)* |
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| Weight: |
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| Street |
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| City |
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| Province_State |
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| Basketball |
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| Rodeo |
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| Curling |
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| Soccer |
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| Volleyball |
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| Rowing |
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| Cross Country Running |
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| Birthdate (mm/dd/yyyy)* |
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| Please have an enrolment officer contact me |
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| Please have the athletics director call me |
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| Province: |
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| Zip_Code |
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| High School:* |
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| High School Street |
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| High School City |
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| High School Province: |
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| High School Postal Code |
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| Graduation Year:* |
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| Grade Point Average (GPA) or equivalent:* |
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| High School Phone |
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| High School Fax |
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| Your coach's name: |
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| Your coach's phone number (area code + number): |
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| Your coach's e-mail: |
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| Field of Study:* |
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| Why are you interested in attending Lakeland? |
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| Career Aspirations: |
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| Sport of Choice |
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| List any athletic and academic awards received? |
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| Are there any films or videotapes or digital video clips available of you playing? |
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| If Yes, how can we access this information? |
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| List any game/season highlights |
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| If yes, how can we access this information? |
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| Name of your local newspaper? |
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| Name of sport editor or contact |
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| Editor Email Address: |
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| List any provincial/national teams or representative teams that you have played on? |
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| Basketball: Assists/Game |
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| Basketball: Other pertinent Information |
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| Basketball: Position Played |
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| Basketball: Position Preferred |
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| Basketball: Year Played |
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| Curling: Awards received |
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| Cross Country Running: Other pertinent Information |
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| Curling: League you compete in |
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| Curling: Other pertinent Information |
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| Curling: Position |
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| Rodeo: Association(s) you compete in |
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| Rodeo: Event(s) you compete in |
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| Rodeo: Other pertinent Information |
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| Rowing: Number of years you have rowed |
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| Rowing: Other pertinent Information |
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| Rowing: What type of rowing have you done |
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| Running: Normal distance ran in competitions |
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| Running:Number of years running on competitions |
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| Volleyball: Aces/game |
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| Volleyball: Average Digs/Game |
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| Volleyball: Kills/Game |
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| Volleyball: Other pertinent Information |
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| Volleyball: Position Played |
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| Volleyball: Position Preferred |
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| Volleyball: Year Played |
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| Soccer: Average assists per game |
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| Soccer: Goals per game |
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| Soccer: Other pertinent Information |
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| Soccer: Position |
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| Soccer: Years played |
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| Basketball: Assists/Game |
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| Basketball: Average Points/Game |
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| Basketball: Rebounds/Game |
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| Family Info: City |
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| Family Info: Name |
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| Family Info: Phone |
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| Family Info: Postal Code |
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| Family Info: Prov |
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| Family Info: Street |
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| Other Information |
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| Do you need more information? |
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| Please have an enrolment officer contact me |
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| Please have the athletics director call me |
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| Local Paper Website |
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