Portsmouth Abbey School - Athletics - Student/Athlete Questionnaire

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Contact Information
Student's First Name: *
Student's Last Name: *
Gender: *
Street Address: *
City: *
State:	(if outside U.S. leave blank)
Zip Code:
Country:
Email Address: *
Phone:
Mother's Name: *
Father's Name: *
Current Grade: *
Applying for Grade: *
Target Start Date: *
Boarding or Day: *
Applying for Financial Aid?:
Academic Information
Current School:
Academic average over the last school year:
Have you taken the SSAT?:
If yes, indicate the range of your overall score.:
Athletic Information
Height:	(optional)
Weight:	(optional)

Favorite Sport: *
Position(s): *
Team Name(s): *
Years Experience: *

2nd Favorite Sport: *
Position(s):
Team Name(s):
Years Experience:

3rd Favorite Sport:
Position(s):
Team Name(s):
Years Experience:

Please list any other athletic interests::

Is there anything else Portsmouth Abbey School should know about you as a student or as an athlete?:
Have you received admissions materials from Portsmouth Abbey?:
Have you scheduled a visit to Portsmouth Abbey?:

	* indicates required information