This form is to be completed by current Regis College student-athletes. The information collected will be for Regis College Athletic Department use only.
Name (First and Last)
Primary Sport
Address
City
State (e.g. MA)
Zip
Home Phone (###-###-####)
Cell Phone
Email
Date of Birth (mm/dd/yyyy)
Parent (designate if Guardian)
Emergency Contact Home Address
Campus Address
High School
Previous College
Current Year in College High School Graduation Year
Major/Minor
Academic Honors
Service Honors
Other Sports Played at Regis College
Height (FT.-IN.)
Position/Event
Uniform Number
College Athletic Honors
High School Athletic Honors
Hometown Newspapers
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