Yale Gymnastics Questionnaire

*denotes required field

Personal Information

Graduation Year*

First Name*      Middle Name

Last Name*      Preferred Name

Address*   City*  

State*   ZIP* Country


Home Phone* Mobile Phone

Birth Date* Registered with Clearinghouse*    

Facebook Myspace

Family Information                                     

Father's Name Father's Occupation

Father's Employer   Father's Home Phone

Father's Work Phone Father's College

Mother's Name Mother's Occupation

Mother's Employer Mother's Home Phone

Mother's Work Phone Mother's College

I live with

The names and ages of my siblings are:

The best way to reach me is

Athletic Information

Floor: Start Level Value 10

1st Pass: 2nd Pass: 3rd Pass:

Gym/gym: Gym/acro: Other:

Other skills:

New skills:

Bar: Start level Value 10

Release: Release: Dismount:

Pirouette: Pirouette: Other:

New Skills:

Beam: Start Level Value 10

Aero Series: Gym Series:

Mixed Series: Dismount:

Mount: Other:

New Skills:


Currrently Competing:

Working on:

Athletic Achievements:


Height ft in  Weight lbs

Other Sports

My Academic Interest are

My Online Video link is

Scholastic Information


School State


Class Rank   GPA

SAT: Date (mo/day/yr)
Critical Reading
ACT: Date (mo/day/yr)

Club Team

Club Team Name


City   State ZIP

Coach Name

Office Phone Cell Phone


General Information

My Top Priorities in choosing a college are
1. 2. 3.

The students and alums I know are

My Favorite Hobbies are

The person who will help me choose a college is

The five schools I plan to visit are
1. 2. 3. 4. 5.

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