Ripon College Athletics : Red Hawks Cycling : Questionnaire

Ripon College

Prospect Questionnaire

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If you would like Coach Ric Damm to contact you, please submit the following information.
Helpful Tips: Required fields are indicated by a red asterisk (*). Any fields you leave blank that require a response will be brought to your attention when you submit the form.
PERSONAL INFORMATION
First name: *		Last name: *
Address:*
City:*		State:*
Country:		Zip:
Phone:	( ) -	E-mail:*

ACADEMIC INFORMATION

High school: *

Grad year: *

Possible academic major:

Check to indicate undecided at this time.

ATHLETIC INFORMATION
Are you currently a member of or have you participated on a high school cycling team?
If yes, name of high school coach:
Are you currently a member of or have you participated on a shop or other sponsored team?
If yes, name of shop or team:
Do you currently or have you held a USA Cycling license?		If yes, select type(s) below.

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