P.L.A.Y. APPLICATION

Address


City                                  State                                  Zip

Height                                   Weight

Highs School G.P.A.                                  Class Rank                                  In Class Of

P.S.A.T. Scores                                  Verbal                                  Math

S.A.T. Scores                                  Verbal                                  Math

A.C.T. Score

Date of Graduation

Student Signature                                  Date

Parent or Guardian Signature                                  Date
(mandatory if student is under 18 years old)

PRINT, SIGN AND MAIL APPLICATION WITH $75 PROCESSING FEE TO:
P.L.A.Y. INC.       c/o Dennis Jackson        P.O. Box 1345        Amherst, MA 01004-1345

CALL US WITH QUESTIONS:
413-585-0549