Last Name * |
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First Name * |
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Graduating Class of * |
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Maill Address * |
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City, State, Zip * |
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Home Phone: |
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Work Phone: |
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Cell Phone: |
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E-Mail Address |
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Employed By |
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Position |
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Spouse (if applicable) |
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Children's Names and Ages |
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Varsity Sport #1 |
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Sport #1 Years Played, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #1 Varsity Letters |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #1 Years Captain, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #1 Please list notable statistics and any notable plays/events |
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Varsity Sport #2 |
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Sport #2 Years Played, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #2 Varsity Letters |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #2 Years Captain, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #2 Please list notable statistics and any notable plays/events |
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Varsity Sport #3 |
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Sport #3 Years Played, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #3 Varsity Letters |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #3 Years Captain, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #3 Please list notable statistics and any notable plays/events |
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Varsity Sport #4 |
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Sport #4 Years Played, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #4 Varsity Letters |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #4 Years Captain, Varsity Only |
7th
8th
Freshman
Sophomore
Junior
Senior
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Sport #4 Please list notable statistics and any notable plays/events |
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BHS Athletic Honors, Recognitions, and Achievements (please list award, sport, and year awarded) |
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Outside Athletic Awards received during High School, such as all-star, etc. (Please list award, sport, and year awarded) |
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BHS Academic/Extra Curricular Honors, Recognition, and Achievements |
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Post BHS Athletic Participation, Honors, Recognition, and Achievements (list school and recognition) |
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Professional Achievements & Awards |
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Personal Achivements & Awards |
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Additional Comments |
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