PLEASE FILL-IN EVERY BOX & MAKE SURE YOU COMPLETE THE DATE AT THE BOTTOM BEFORE SUBMITTING.
Any questions or for additional information, contact Christian Stryker, Director of Sports Information at firstname.lastname@example.org
By clicking the submit button below, you signify you authorize the sports information department at Coker College to use all of the information listed above, as well as photographs and any other present or future information about me as a student-athlete at Coker for sports publicity and information purposes. I grant this authorization as a waiver to my rights under the Education Ammendment of 1972 to restrict the release of information to persons outside the University. I also acknowledge personal information such as phone numbers, addressess and social security numbers are for office use only.