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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: Friday, 24-Aug-2007 15:13:16 EDT