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Prospective Athletes
Think you might be interested in wrestling at Messiah? Complete the form below and we'll be in touch.
* denotes required information.

Personal Information
First and Last Name: *
Street Address: *
City, State: *
Zip Code: *
Telephone: * (e.g., 000-000-0000)
Email Address: *
Parents' Names: *
Date of Birth: (MM/DD/YYYY)
Home Church:
Siblings' Names and Ages (if applicable):
Pastor's Name:
Pastor's Phone:
Parents' Occupations:


Academic Information
High School: *
Graduation Year: *
Approx. GPA: *
SAT/ACT Score:
Level of interest in Messiah College:

5 (High)
4
3
2
1 (Low)
Major(s) you're interested in:
Other colleges you're considering:


Athletic Information
Present Weight: * lbs.
Present Height: * (e.g. 5-11)
Years in Varsity Wrestling: *
Years in Other Wrestling: *
(please specify club, JV, etc.)

9th grade record and honors: *

10th grade record and honors: *
11th grade record and honors: *
12th grade record and honors: *
Do you have video available? *
Head Coach: *
Coach's Phone Number: * (e.g., 000-000-0000)


Additional Information
Have you already visited Messiah? *
Would you like to visit? *
Would you like to receive information from Admissions? *
Do you know anyone who is presently, or has been, a student or employee at Messiah?