KCKCC Men's Basketball Questionnaire
Email
Secondary Email
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Email address *
Personal Information
Full Name *
Address *
Address
City *
State *
County *
Zip Code *
Home Phone Number *
Cell Phone Number *
Birthdate *
Parent's Information
Father's Full Name *
Father's Email
Father's Cell Number
Father's Occupation
Mother's Full Name *
Mother's Email
Mother's Cell Number
Mother's Occupation
Academic Information
Year of High School Graduation
High School *
Address *
Address
City *
State *
Zip Code *
Guidance Counselor
School Phone Number *
GPA
ACT Score
SAT Score
Major you wish to study
Athletic Information
High School Coach's Name *
High School Coach's Cell Number
High School Coach's Office Number
High School Coach's Email Address *
Height *
Weight
Primary Position *
Point Guard
Guard
Small Forward
Power Forward
Center
Jersey Number *
Points Per Game
Rebounds per Game
Field Goal Percentage
3 Point Field Goal Percentage
Free Throw Percentage
AAU/Club Team Name
AAU/Club Team Coach's Cell Number
AAU/Club Team Coach's Email
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