Athletics Questionnaire
Full First Name:
Preferred First Name:
Middle Initial:
Last Name:
Gender (check one): Male Female
Street Address:
Street Address:
(if more space needed)
Town/City:
State:
Postal/Zip Code:
Country:
E-mail Address:
(For the most up-to-date information and myThomas access.)
IM Address:
IM Type:
Home Area Code and Phone Number:
(without dashes)		 
Mobile (Cell) Area Code and Phone Number:
(without dashes)		 
Present High School:
or Present/Previous College/University:
or if your present school isn't listed, please enter it here:
Year of High School Graduation:
Do you want to play NCAA Division III Varsity Athletics? (Check all that apply)
Baseball Basketball Cross Country Field Hockey Lacrosse
Soccer Softball Tennis Other:
Do you want to play Intercollegiate Club Sports? (Check all that apply)
Golf Ice Hockey Track and Field

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