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Women's Basketball Interest Form

Sport

Sport

Women's Basketball

Student Details

First Name

Last Name

Email Address

Birthdate

Birthdate

Phone Number

Would you like to opt-in to receiving text messages from WBU?

Would you like to opt-in to receiving text messages from WBU?

Yes

No

Mailing Address

Mailing Address

Country

Street

City

Region

Postal Code

Academic History

High School Name

Graduation Year

HS GPA

HS Class Rank

College

College GPA

College Graduation Date

Phi Theta Kappa Membership?

Phi Theta Kappa Membership?

Yes

No

Basketball Contact Information

Current Coach Name

Phone Number

Email

Club Details

Club Coach Name

Phone Number

Email

Summer/Club Basketball Schedule

Statistics/Information

Position played

Points Per Game

Assist Per Game

Rebounds Per Game

Steals Per Game

Blocks Per Game

Awards Accolades

Awards Accolades