STUDENT ATHLETE CONTACT
CATAWBA COLLEGE STUDENT-ATHLETE SUMMER CONTACT FORM
PLEASE PRINT NEATLY
NAME: _____________________________________________ SPORT: ___________________________
Home Address: ____________________________________________________
____________________________________________________
_____________________________________________________ ____________________
City State ZIP
SUMMER Address if different then above: _____________________________________________________
_____________________________________________________
_____________________________________________________________
City State ZIP
Please list any and all dates and corresponding locations during the summer in which you will not be at the summer address listed above. Use back side of this form or an additional sheet if necessary:
Dates:_________________________ Location:_______________________________________
Dates:_________________________ Location:_______________________________________
Your Home Phone #: ( ) ______________________ Your Cell Phone #: ( ) ________________________
Your Summer Phone # (if different than home phone number): ( ) ___________________________
Your Summer or BEST E-mail Address to contact you: _____________________________________________________
Name and Phone Number of an Emergency Contact Person in the event we can’t reach you directly:
Name: _________________________________________ Relationship:______________________________
Emergency Contact’s Phone #: ( ) ___________________________
Summer Employment: ________________________________________ Phone #: ( ) ________________________
Summer School Class and/or Work Schedule:
|SUNDAY |MONDAY |TUESDAY |WEDNESDAY |THURSDAY |FRIDAY |SATURDAY |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
Summer Sports League if applicable: _______________________________________________________
Name of Team: _______________________________________ Location:_____________________________________
Coach Name: _________________________________________ Coach Phone #: ( ) _____________________
** Should any changes occur in the contact information noted above please notify all of the following:
Dennis Davidson – Athletic Director 704-637-4474 DDAVIDSO@CATAWBA.EDU Craig Turnbull -Compliance Coordinator 704-637-4475 CTURNBUL@CATAWBA.EDU
Bob Casmus, ATC – Head Athletic Trainer 704-637-4350 BCASMUS@CATAWBA.EDU
YOUR HEAD COACH
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