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FIRST CONTACT FORM – TRACK & FIELD

In accordance with the rules and regulations established by the California Commission on Athletics (COA), a student wishing to participate in the San Joaquin Delta College Athletic program must establish “First Contact” with the department.

If you are interested in San Joaquin Delta College Track & Field, please fill in your information below and click on the submit button. Your information will be e-mailed to the Track & Field coaching staff.

* Required Information

Enter your full name in the text box to indicate the below statement is true.

First Contact Statement

*I, , hereby certify that I made the First Contact with San Joaquin Delta College and that I am requesting information from this college without prior contact by members of the staff or persons representing San Joaquin Delta College.


FIRST CONTACT FORM – TRACK & FIELD
*First Name:
*Last Name:
*E-mail Address:
*Address:
*City/State/Zip:
*Phone Number:
Cell Phone Number:
Birthdate:
Parent/Guardian:
Parent/Guardian Address (if different):
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
*High School/Junior College:
*Graduation Month/Year:
Coach:
Coach’s Phone:
GPA:
Score on ACT/SAT:
Proposed Major:
Statistics in sport:

List recent honors:

Hobbies and Interests:

Academic Goals:

Athletic Goals:

Comments/Questions:

In the event of an error message, please print this form and mail or fax the completed information to:
Athletic Director
San Joaquin Delta College
5151 Pacific Avenue
Stockton, CA 95207
Athletic Fax: (209) 954-5696
Thank you for completing the form, please click on the Submit button ONCE only.

 
• San Joaquin Delta College • 5151 Pacific Ave • Stockton, CA 95207 • 209-954-5151 • sjdchelp@deltacollege.edu •SiteMap