Defiance College Football Recruit Form

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Defiance College Football Recruit Form

Twitter Handle *

High School *

High School Address: *

High School Phone Number: *

Head Coach: *

Date of Birth: *

Parent/Guardian Name: *

Position *

Height *

Weight *

Jersey Number *

Graduation Year *

GPA *

Test Score (SAT/ACT) *

Intended Major *

Thank you for taking the time to fill out the questionnaire!

* required field