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Athletic Questionairre: Men's Baseball         Mark Stratton, Head Coach Office: (417) 873-6399 E-mail: mstratton@drury.edu         Name:       First     Middle Initial     Last     Birthdate     Age     Gender     Home Phone     Cell Phone     E-mail     SSN   Personal Address:       Street     City     State MO AK AL AZ AR CA CO CT DE FL GA HI IA ID IN IL KS KY LA MA MD ME MI MN MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA WA VT WI WV WY     Zip-Code   Family Information Father:       Name     Occupation     College Attended     Work Phone     Home Phone   Mother:       Name     Occupation     College Attended     Work Phone     Home Phone   Siblings (Names & Ages)   Academic Information Academic Status:       High School     Junior College     Graduation Date   School Address:       Street     City     State MO AK AL AZ AR CA CO CT DE FL GA HI IA ID IN IL KS KY LA MA MD ME MI MN MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA WA VT WI WV WY     Zip-Code   Counselor:       Name     E-mail     Office Phone   Coach:       Name     E-mail     Office Phone     GPA ACT SAT   Date to be tested   Have you filed with the National Clearinghouse?   Yes No In Process   If Yes, when did it clear?   Baseball Information   Height     Weight     Bat:       Right Left Switch     Throw:       Right Left   Postion(s):       Varsity Letters Earned   Summer Information:       Team     Coach     Home Phone

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