Recruit Form
Email
Secondary Email
There are errors with your form submission. Please review and submit again.
Email address *
First name *
Last name *
Address 1 *
Address 2
City *
State *
ZIP Code *
Cell Phone Number
Date of Birth
Name of Parent(s) or Guardian(s) *
Bethany Alumni/Students You Know
High School *
High School Address
High School Phone Number *
Guidance Counselor
Graduation Year *
GPA *
ACT
SAT
Academic Honors
Academic Areas of Interest
Height
Additional Sports Played
Athletic Letters Earned
Athletic Honors
High School Coach *
High School Coach Phone Number
High School Coach E-mail
Handed *
Right
Left
Additional Information
Submit
* required field