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Michigan State Wrestling Questionnaire

Required fields in BOLD

Name:   
 Birth Date:   
Mother's Name:   
 Father's Name:   
Street Address:
City:
 State:
 Zip:
High School:   
 Home Phone:   
High School Coach:   
Cell Phone:   
High School Coach's Phone Number:   
High School Coach's E-mail Address:   
Class (A-B-C-AA, etc.):   
E-mail Address:   
  
Overall GPA:
 SAT:
 ACT:
Your Academic Interests:
Parent's Occupation:
 
High School Wrestling Record:
 Freshman Weight
  Wins
  Losses
  State Place
 Sophomore Weight
  Wins
  Losses
  State Place
 Junior Weight
  Wins
  Losses
  State Place
 Senior Weight
  Wins
  Losses
  State Place
 
Cadet Nationals:
Year
  Weight
  Place FS
  Place GR
Year
  Weight
  Place FS
  Place GR
 
Junior Nationals:
Year
  Weight
  Place FS
  Place GR
Year
  Weight
  Place FS
  Place GR
What are your wrestling goals?