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Name: ___________________________ Height _____ Weight _______
Address: _______________________________________
Home Phone: ______________________
Cell Phone: ________________________
Email: ___________________________
High School w/ Address: Chamblee Charter High School 3688 Chamblee-Dunwoody Road Chamblee, Ga. 30341
Cumulative GPA: __________ Classification ________
ACT Score: _____ SAT Score (Verbal and Math): ______
Registered w/ Clearinghouse ___
Coach’s Name: Curtis Mattair
Coach’s Contact Info: coachmattair@gmail.com
Event/Personal Best: ________________________
Event/Personal Best: ________________________
Event/Personal Best: ________________________
Event/Personal Best: ________________________
(ATHLETE: complete & return via email to coachmattair@gmail.com)