Personal Information

Name   Nickname

E-mail   Housing Location

Year at Wesley

Address   City, State, Zip

Birthdate   Height  

Weight

You live with (mother, father, both, other)

Mother's Name Mother's Occupation

Mother's E-Mail

Father's Name Father's Occupation

Father's E-Mail


Academic Information (Freshman Only)

High School School District

School Phone

School Address School City, State, Zip

Athletic Director Principal

Guidance Counselor Phone

Graduation Date Class Rank/Size

SAT Math Score SAT Reading Score

SAT Writing Score Total Score

ACT GPA

Anticipated Major

Extracurricular Activities

Other College Interests

Career Interests


Athletic History

Team 1 Name # of Year Participation

Coach Name Phone E-mail

Team Type (School, All-Star, Gym, Other)

Stunt Positions That Apply (Base, Flyer, Back-spot)

Team 2 Name # of Year Participation

Coach Name Phone E-mail

Team Type (School, All-Star, Gym, Other)

Stunt Positions That Apply (Base, Flyer, Back-spot)


Skills Inquiry

Standing Tumbling (write yes to all that apply)

Highest Tumbling Skill

Running Tumbling (write yes to all that apply)

Highest Tumbling Pass

Sizing

Top

Bottom

Jacket

Pant

Shoe



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