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KICKING CONNECTION STUDENT INFORMATION SHEET



Name:__________________________________________________


Date of Birth:_________________________________________

High School :__________________________________________

College:_______________________________________________

Parents Names :________________________________________

Address:_______________________________________________


Home Phone #:_______________________

Cell Phone #:_______________________

Email Address:____________________________

Position: Punter/Kicker/Long-Snapper/Holder:_______________________

___________________________________________________________________

Graduation Year:__________________

Height:_____________

Weight:_____________

T-Shirt Size:_______________

Medical Conditions:_________________________________________________

____________________________________________________________________

____________________________________________________________________

Surgeries:__________________________________________________________

____________________________________________________________________

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