Prospective wrestling questionnaire

Email Secondary Email

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Please give your contact information.

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Home Phone Number

Cell Phone Number

Birth Date (MM/DD/YYYY):

Height:

Parent/Guardian's Name(s):

Parent/Guardian's Occupation(s):

Name of High School:

High School Address:

City, State, and Zip:

High School Phone Number:

Grade Point Average:

High School Graduation Date:

Areas of Academic Interest:

ACT or SAT Score:

Hobbies/Interests:

Wrestling Information

What weight class do you anticipate wrestling in college? (125, 133, 141, 149, 157, 165, 174, 184, 197, 285) *

Freshman Season Information:

Freshman Season Record (W-L):

Freshman Season Weight Class:

Freshman Season Placing at State:

Sophomore Season Information:

Sophomore Season Record (W-L):

Sophomore Season Weight Class:

Sophomore Season Placing at State:

Junior Season Information:

Junior Season Record:

Junior Season Weight Class:

Junior Season Placing at State:

Senior Season Information:

Senior Season Record:

Senior Season Placing at State:

Senior Season Weight Class:

Coach's or Coaches Name(s):

List name and contact phone number

Other Wrestling Statistics/Achievements/Other Information:

Other Athletic Awards achieved in other sports:

Name of Hometown Newspaper:

At this point, what is your interest level in Barton?

* required field