Women's Basketball Recruitment Questionnaire

Email Secondary Email

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

What position do you play? *

What is your height? *

How tall are you?

Are you? *

Right Handed Left Handed

What High School do you attend? *

What is your High School Coaches Name? *

What is your High School Coaches Cell Phone Number?

Do you have a video? *

If so, please provide a link.

* required field