Official Website of the Mizzou Rec Center at the University of Missouri

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Recruits

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Step 1 of 3

Personal Information
Graduation Year*

Anticipated high school graduation
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Cell Phone
Home Phone
Birthdate*
MM slash DD slash YYYY
Facebook
Twitter
Marital Status
Disability*
Please describe your disabilities

Family Information
Father's Name
First Last
Family's Email
Father's Home Phone
Father's Cell Phone
Mothr's Name
First Last
Mother's Email
Mother's Home Phone
Mother's Cell Phone
I live with:*
- Father
- Mother
- Other
Other

Please describe
Guardian Information
Guardian's Name
First Last
Guardian's Email
Guardian's Home Phone
Guardian's Cell Phone
Guardian's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country