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Women's Water Polo Prospective Student-Athlete Form

City      State     Zip    
Phone Number     Cell Phone Number    
Email Address  
High School of Last Attendance   
City      State    
Graduation Year   
Athletic Information
Position       Height       Weight   
Dominant Hand   
Swim Times:
50 Free        
100 Free      
 200 Free     

The California Commission on Athletics has very specific rules as they relate to recruiting of players outside our recruiting area. I hereby certify that I made the first contact with Golden West College and that I have chosen this college without prior contact by members of the staff or persons representing the college. I understand that any misinformation will result in loss of eligibility and forfeiter of contests.

I agree to the statement above