Athletic Interest Form

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

Fields marked with * are required.

General Information Full Name*

Street Address*

City* State Zip Code*

Email Address Sex Phone Number*

Parent/Legal Guardian Full Name Phone Number

Street Address

City State Zip Code

Sport Sport* Position

Height feet inches

Weight (lb.) Honors/Awards

High School School Name* Graduation Year* Coach’s Name Coach’s Phone Number

JCC Information Intended Major* Minor

Additional Comments

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1220 Coffeen Street, Watertown, New York 13601

• 888-435-6522 or 315-786-2200
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Last Update: Tuesday, 24-Aug-2010 12:02:52 EDT