Clay Target Questionnaire

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Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Date of Birth *

High School *

High School Graduation Year *

High School City and State *

GPA *

Class Rank

Academic Honors

Intended Major *

If 'Other' above, please indicate major of interest

Other Academic Information

Score Average *

Disciplines *

Please select the variety of disciplines you have practiced/competed in.

Trap Skeet Sporting Clays 5-Stand

Coach Name(s) *

Coach Contact Information (Phont and/or Email *

Athletic Honors (All-Conference, All-State, etc.)

Other Athletic Information

* required field