Athletics

Athletic interest Form

Thank you for visiting our web site. If you are interested in playing a sport at JCC, please complete the form below or contact us at 315-786-2232 or email jwiley@sunyjefferson.edu.

General Information:
First Name:
Middle Name:
Last Name:
Address1:
Address2:
City:
State:
Zip Code:
EMail:
Sex:
Phone:	- -

Parent/Legal Guardian:
First Name:
Last Name:
Phone:	- -
Address1:
Address2:
City:
State:
Zip Code:

Sport:
Sport:
Position:
Height:	feet inches
Weight:
Honors/Awards:

High School Information:
High School:
Graduation Date:	/ /
HS Coach Name:
Coach Phone:	- -

JCC Information:
Intended Major:
Minor:

Comments:
Additional Comments:

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Last Update: Wednesday, 16-Dec-2009 12:16:42 EST

Athletics

Athletic interest Form

General Information:

Parent/Legal Guardian:

Sport:

High School Information:

JCC Information:

Comments: