*Name (first and last)
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*Sport(s) at St. Norbert:
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| *Class year at St. Norbert: |
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| *Age: |
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| *Home address: |
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| *City: |
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| *State or province: |
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| Country: (if outside of the U.S.) |
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| *Zip: |
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| *Home phone: |
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| *Cell phone: |
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| *Date of birth: |
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| *Height: |
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| *Weight (required for men only): |
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| Sport, letters won at St. Norbert: |
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| *Number of years you've participated in sports at St. Norbert College: |
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| *College Major(s): |
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| St. Norbert College academic honors: |
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| Bat/Throw (baseball/softball only): |
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| *High School you graduated from: |
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*High school sports played (list varsity letters won):
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| *Did you attend a college before St. Norbert? If yes, please specify where and for how many years/semesters. |
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*Have you played on any conference title, junior champion (hockey) or state tournament teams? If yes, give details.
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*Were you named to any all-star, all-state, all-conference or all-district teams? If yes, give details.
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| *List any high school (juniors/club for hockey) athletic honors, awards, accomplishments: |
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| *List and high school academic honors, awards, accomplishments: |
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| *Have any close relatives played collegiate or professional sports? If yes, give details. |
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| *List any hobbies or special interests: |
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| By submitting this form you grant St. Norbert College permission to release athletic and academic information and honors to news media. |
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