NIC Wrestling

Prospective Student-Athlete Questionnaire

Name:
Address:
City:
State:
Zip:
Phone:	ex. 208-555-5555
Email:
Birthdate:
Parents Names:
Possible Major:
Year of Graduation:
High School GPA:
Height:
Weight:
High School:
HS Coach:
HS Coach's Phone #:
State Finishes:	ex. So - 3, Jr -1, Sr - 1