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 Men’s Water Polo, please fill in your information below and click on the submit button. Your information will be e-mailed to the Men’s Water Polo 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 – MEN’S WATER POLO
*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:
Club/Summer Team(s) you have played for:
Club/Summer Coach:
Club/Summer Coach’s Phone:
Primary Position:
Secondary Position:
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.