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STUDENT ATHLETE'S FULL NAME
STUDENT ATHLETE'S DATE OF BIRTH (MMDDYYYY)
STUDENT ATHLETE GRADUATION YEAR/CLASS
HIGH SCHOOL OR JUNIOR COLLEGE NAME
STUDENT ATHLETE'S SPORT
STUDENT ATHLETE'S E-MAIL
STUDENT ATHLETE'S PHONE  XXX-XXX-XXXX
STUDENT ATHLETE'S FACEBOOK NAME
STUDENT ATHLETE JUNIOR COLLEGE TRANSFER  (Y/N)
PAYPAL TRANSACTION NUMBER
COMMENTS (OPTIONAL)
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IF YOU PREFER OUR EXTENDED PAYMENT PLAN
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