Prospective Athletes Information Form

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Player Information
Name: *
Address: *
City,State and Zip Code: *
Phone: *
E-mail: *
Current School:
Current Grade:
Birthdate:
Height:
Weight:
Interview Date:

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Coaches Information
Head Coach(most recent)
Name:
Email:
Home Phone:
Work/SchoolPhone:

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Supplemental Information

Position(s):

Describe your sports experience below:
What other sports (if any) do you play at a competitive level?
Any additional information (e.g. academic grades, honors, awards, etc.) *

For Phone, Mail or Email Inquiries Contact:

Jay Tilton
Head Coach
Phillips Exeter Academy
20 Main Street
Exeter, NH 03833
School Phone: 603-777-3344
E-mail: jtilton@exeter.edu