Athletic Department at Barstow College

Athletics

Name

Email Address:

Check the Sport you are interested in playing:

Men's Baseball	Women's Softball
Men's Basketball	Women's Basketball
Men's Cross Country	Women's Cross Country

Name:

Birthday:

Street Address:

City/State/Zip

Student/Athlete Phone Number:

e-mail address:

Parent / Guardian:

Phone #:

Parent /Guardian Occupation:

Work Phone#:

College Year (check one): Freshman Sophomore

(Note: Sophomores are in their 2nd college season)

Height:

Weight:

Position:

High School:

Year Graduated:

GPA:

Number of Years on Varsity:

High School Coach:

Phone Number:

Traveling/AAU Coach:

Phone Number:

Is Video available? (check one) Yes No

List Statistics, Honors and Awards below: (PPG, FG%, FT%, ERA, BA, etc.), (All-League, Team MVP, and year accomplished)

College Transfer: (check one): Yes No

If yes, what College:

Did you play any Sports @ this College? Yes No

If yes what sport?

What are your Academic areas of interest?

What are your Career goals?

Would you like more information about Barstow Community College?

Yes No (check one)