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Merch Madness
Diving Program Questioniare
Answer the following questions and then click "Submit this Form" at the bottom of the page.

Required Fields in Bold

First Name
Middle Name
Last Name
Date of Birth
Street Address/Apt. #
City, State
Zip Code
Home Phone
Cell Phone
Best Time to Call
E-mail Address
Mother's First Name
Mother's Last Name
Mother's E-mail
Mother's Occupation
Father's First Name
Father's Last Name
Father's E-mail
Father's Occupation
What year do you graduate from high school?
What is your NCAA Clearinghouse number?
ACT Score
SAT Math
SAT Critical Reading
SAT Writing
Intended Major
Serious Injuries/Surgeries
1M Optionals
3M Optionals
JMU does not have a platform. Is that a problem for you?
US Diving Team Name
US Diving Coach's or Coaches' Name(s)
US Diving Coach's E-mail(s)
US Diving Coach's Cell(s)
Age Group National Experience?