Personal Information:
Name: Parents/Guardians' Names:
Gender: Birth date:
Home Address: City:
State: ZIP:
Home Phone: e-mail:
High School: Graduation Year:
Coach: Coach's e-mail:
Academic Information:
Desired Major:
CGPA: SAT: (CR) (M) ACT:
Class Rank: out of Advanced Courses Taken:
Athletic Information:
Height: Weight: Throwing Hand: Position:
Previous Polo Experience/Awards:
Water Polo Statistics:
Best Times in three swimming events:
List All Additional Extra-Curricular Activities:
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