2020-2021  SALEM  ATHLETIC  PROSPECTS
Please Fill Out To Receive Further Information about Specific Athletic Programs at Salem High School -                                                                        Go Rocks!
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STUDENT-ATHLETES PERSONAL INFORMATION
Please fill out to the best of your knowledge
Student-Athletes Last Name:           *
Student-Athlete First Name *
House Number & Street (Home Address): *
CITY (Home Address): *
STATE (Home Address): *
Required
ZIP CODE (Home Address): *
EMAIL ADDRESS: *
MOBILE PHONE #: *
YEAR IN SCHOOL:  (Upcoming Year) *
MIDDLE SCHOOL ATTENDED: *
IF "OTHER" MIDDLE SCHOOL SELECTED, PLEASE TYPE NAME BELOW:
PARENT OR GUARDIANS PERSONAL INFORMATION
Please fill out to the best of your knowledge
PARENT (Guardian) NAME: *
PARENT (Guardian) CONTACT (Email): *
PARENT (Guardian) CONTACT (Mobile #): *
 FALL SPORTS - PROGRAM INTEREST                                          
Please Check all Sports that you are interested in receiving further information.
 FALL SPORTS - PROGRAM INTEREST  (Females)                                      
 FALL SPORTS - PROGRAM INTEREST (Males)                                    
WINTER SPORTS - PROGRAM INTEREST                                          
Please Check all Sports that you are interested in receiving further information.
WINTER SPORTS - PROGRAM INTEREST (Females)                                      
WINTER SPORTS - PROGRAM INTEREST  (Boys)                                        
SPRING SPORTS - PROGRAM INTEREST                                          
Please Check all Sports that you are interested in receiving further information.
SPRING SPORTS - PROGRAM INTEREST  (Females)                                    
SPRING SPORTS - PROGRAM INTEREST (Males)                                    
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