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Student- Athlete Success & College Admission Masterclass Series Registration Form
Student-Athlete Success and College Admission Masterclass
General
Academics
Athletics
Parental/Supplemental
First Name
*
Last Name
*
Date of Birth
Please be sure to select the correct year. Ex December 23, 1977 = 12/23/1977.
Nationality
*
Bahamas
Haiti
Jamaica
United States
Other
Other
(Countries that you hold a valid passport for. Select all that apply)
Sex
*
Male
Female
Home Phone
*
Include area code. Enter numbers only. Ex. 2425225587
Mobile Phone (if applicable)
Include area code. Enter numbers only. Ex. 2425225587
Email Address
*
Confirm Email Address
*
Please confirm email address
School
*
School Type
*
Private
Public
Other
Other
School Location
*
Bahamas
USA
Canada
Other
Other
Island
*
Abaco
Andros
Acklins
Berry Islands
Bimini
Cat Island
Crooked Island
Eleuthera/Harbour Island/Spanish Wells
Exuma
Grand Bahama
Inagua
Long Island
Mayaguana
New Providence
Ragged Island
Rum Cay
San Salvador
Other
Island
City
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
State
Will you be the first person in your immediate family to attend college?
*
Yes
No
Immediate family includes your Mother, Father, and Siblings.
Will you be the first college student-athlete in your immediate family?
*
Yes
No
Immediate family includes your Mother, Father, and Siblings.
If you are human, leave this field blank.
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