Athletic Recruitment Form

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Please take a few minutes to complete the form below. The information you provide will be referred to the appropriate coaching staff, enabling the coaching staff to respond to you. Contact jvenegas@hartnell.edu if you have difficulty completing this form online.

Email address *

First name *

Last name *

Address 1

City

State

ZIP Code

Cell Phone Number

Gender *

Male Female

Birthdate

dd/mm/yyyy

Athletic Team

Position

Height

High School Name

High School State

High School Graduation Year

High School Coach

High School Coach Phone Number

High School Coach Email

Club//AAU/Travel Team

Club/AAU/Travel Coach

Club/AAU/Travel Coach Email

Club/AAU/Travel Coach Phone Number

Biography

* required field