REGIS COLLEGE STUDENT-ATHLETE QUESTIONNAIRE

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)         

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