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First Name	*
Last Name	*
Address	*
City	*
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ZIP/Postal Code	*
Email	*
Phone
Sex	Female Male
Year of High School Graduation
Home Church
Names of people who will be attending with me
First Name Last Name Relationship to You
I'd like to meet with an athletic coach for the following sport(s):
Baseball - men Basketball - men or women Soccer - men or women   Softball - women Volleyball - women
I'd like to schedule a music audition for:(they can fill in what they sing/play)
Voice Instrument

Bethany University - 800 Bethany Drive - Scotts Valley, CA 95066
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