* 1. First Name:

* 2. Middle Initial:

* 3. Last Name:

* 4. High School:

* 5. Number Attending:

* 6. Street Address:

* 7. City:

* 8. State:

* 9. Zip Code:

* 10. Phone Number:

* 11. Email Address:

* 12. Please check one:

* 13. Rust College Spring 2018 Preview Day:

* 14. Which division are you interested in: Education:

* 15. Are you currently a:

* 16. Anticipated Athletic Interests:

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