Coker College Student-Athlete Sports Information Form

PLEASE FILL-IN EVERY BOX & MAKE SURE YOU COMPLETE THE DATE AT THE BOTTOM BEFORE SUBMITTING.

STUDENT-ATHLETE CONTACT INFORMATION

(Ex. Mike instead of Michael)

HIGH SCHOOL INFORMATION

(PLEASE BE SPECIFIC- Please spell out conference and state affiliations. Please seperate sport accomplishments.)

COLLEGE OR JUNIOR COLLEGE INFORMATION-
DOES NOT APPLY TO FRESHMEN

TRAVEL, CLUB OR AAU TEAM INFORMATION

ACADEMIC INFORMATION

PERSONAL INFORMATION

(If you have stepparents, please include)
(Please list ages and school, if they are enrolled in college)

Any questions or for additional information, contact Gus Mohlhenrich, Director of Athletics Media Relations at  tmohlhenrich@coker.edu

By clicking the submit button below, you signify you authorize the athletics media relations 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.

 
* = required field