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Fill Out the Following Information Below and then click submit at the bottom of the form when completed.

Contact Information
Last Name:
First Name:
Middle Name:
Position:
Uniform Number:
Street/P.O. Box:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
SS#:
Height:
Weight:
Year of Graduation:
Father's Name:
Mother's Name:
Dad's Occupation:
Mom's Occupation:
Parent's Phone:
High School/J.C.:
School Address:
City:
State:
Zip:
School Phone:
Counselor's Name:
Academic Information
Grade Point Avg.:
Hours Passed:
SAT Score:
ACT Score:
Have you filed with the NCAA Clearinghouse?
Academic Honors:
Statistical Information
Points per game:
Reb. per game:
Assists per game:
Field Goal %:
3-pt Percentage:
Steals per game:
Coaches & Team Information
High School Coach:
Phone:
Recent Record:
J. C. Coach:
Phone:
Recent Record:
AAU Team:
Uniform Number:
AAU Coach
Phone:
After completing this form click the submit button below to send your information to our coaching staff. Thanks for your interest in MHC Athletics.

 

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Rick Baker,
Sports Information
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150 Years of Academic Excellence
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