Kirkland Academy Application
First Name *
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Last Name *
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Email *
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Date of Birth *
MM
/
DD
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YYYY
Address *
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City, State *
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Zip Code *
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Phone number *
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High School *
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High School Graduation Year *
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Overall High School GPA *
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SAT Score
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ACT Score
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Guidance Counselor's Name
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Guidance Counselor's Phone Number
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Guidance Counselor's Email
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Football Position(s) *
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Height
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Weight
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Coach's Name *
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Coach's Email *
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Coach's Phone Number *
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Guardian's Name *
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Relationship to Student *
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Guardian's Phone Number *
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Guardian's Email *
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Second Guardian
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Relationship to Student
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Guardian's Phone Number
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Guardian's Email
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