Men's Basketball - More Information

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Required Information Full Name:
E-Mail: Phone #:
Mailing Address:
Street address, City, State, ZIP
Birthday (mm/dd/yy): Height: Weight:
Optional Information High School Attended:
GPA: SAT Score: ACT Score:
H.S. Graduation Date: Prospective College Major:
Optional Information Parent/Gardian Occupation(s):
Siblings(s): Age(s):
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Other associates, affiliations, accomplishments (4H, FFA, FBLA, Student Senate, etc.):

Any other sports you participate in?

For more information about Basketball please contact: adrian [dot] hayes [at] cncc [dot] edu (Coach Hayes) Employee Directory by phone: (970) 629-3279 or (800) 562-1105 x3279