Shasta College Athletics

Out-of-District Student Contact Athletic Form

In accordance with the rules and regulations established by the Commission on Athletics (COA) in California, you (the student) must establish "First Contact" with Shasta College Athletics.

Please take a few minutes to complete the form below. The information you provide will be referred to the appropriate coaching staff, enabling the coaching staff to respond to you. Contact Mike Vanderwerf if you have difficulty completing this form online.


I hereby certify that I made first contact with Shasta College and that I am requesting information from this college without prior contact by members of the staff or persons representing the college.
Yes (Required field)


NOTE: * = Required Field

Contact Information

* First Name: *Last Name:
*Address:
*City: *State: *ZipCode:
Email:
*Telephone:

Personal Information

Date of Birth: Gender: Male Female

High School Information

Graduation Date:
High School Name:
High School Address:

Sports Interests

Baseball Men's Basketball Women's Basketball Men's Cross Country
Women's Cross Country Football Men's Golf Men's Soccer
Women's Soccer Softball Men's Swimming Women's Swimming
Men's Tennis Women's Tennis Men's Track & Field Women's Track & Field
Wrestling
Volleyball
Women's Golf

Comments?


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