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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
 
Nickname
 
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?
 
GPA/Scale
 
ACT Score
 
SAT Math
 
SAT Critical Reading
 
SAT Writing
 
Intended Major
 
Height
 
Weight
 
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?