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GENERAL INFORMATION Name: (First, MI, Last) Gender: MaleFemale Social Security #: Parent/Guardian: Birthdate: [month] January February March April May June July August September October November December [day] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , (yyyy) CONTACT INFORMATION E-Mail Address: Postal Address: City: State: Select One... 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LITERARY School Paper Yearbook Literary Magazine Student Recruiter COMMUNICATION & THEATER Theater Debate Extemporaneous Speaking Radio Broadcasting TV Producation and Casting Other RELIGIOUS ACTIVITIES BSU Church Ministries Other MUSIC Vocal Alto Bass Soprano Tenor MUSIC Keyboard Piano Organ Percussion MUSIC Band Woodwind Brass Flag Drum Major Rifle VARSITY ATHLETICS Baseball Basketball Football Softball Volleyball Tennis Cross Country Cheerleading Soccer Other COMMENTS   MISSISSIPPI COLLEGE • FAITH, FAMILY, FUTURE

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