Incoming/Deposited Student-Athlete Sports Information Questionnaire

(name you wish to have used in press releases, etc.)
Example: 43209
(ex: 12/12/99)
(first and last)
(House/Apt. #, City, State, Zip code)
(first and last)
(House/Apt. #, City, State, Zip code) *if different than mother's
(radio, TV, websites, etc.)
Sport(s) to be played at Capital (check all that apply) *


















2015-16 Class Year *
pick one





ex: SAAC, campus organizations, volunteer activities)
(#, Street, City, State, Zip code)
Example: Ohio Capital Conference, Capital Division
(only for sports to be played at Capital)
(for ALL sports - please be specific and cite dates)
(please be specific and cite dates)
Are you a transfer student? *


Do you use any of the follow social media platforms? *
(select all that apply)













(NOTE: By submitting your handle you acknowledge you give Capital Athletics permission to tag you in tweets. This does not mean that you will be tagged, and will be based on the appropriateness of the content on your timeline and bio)
(NOTE: By submitting your handle you acknowledge you give Capital Athletics permission to tag you in posts. This does not mean that you will be tagged, and will be based on the appropriateness of the content on your timeline and bio)
 
* = required field