| Name: |
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| Date of Birth: |
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| High School: |
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| Date of High School Graduation: |
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Sport you are interested in playing:
(if swimming and diving, fill out section at bottom of form) |
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| Position or Event you participate in: |
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| Height: |
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| Coach's Name: |
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| Coach's phone number: |
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| How did you find out about MCC: |
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| Street Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone number (with area code): |
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| E-mail address: |
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| Area of study you are interested in: |
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| Athletic and academic honors received: |
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| Can you commute to MCC? |
Yes No |
| Do you need assistance in obtaining housing? |
Yes No |
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| Swim Team (swimmers only): |
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| Best Times (swimmers only): |
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| How long have you been swimming (swimmers only): |
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