Mesa C.C. Athletics Questionairre

This information will be used to create your bio for the website and media guide.

Year in school


Personal Information

Bat (baseball or softball only)



Throw (Basenall or softball only)


Family Information

Please include relationship to you, name and sport of team, and when
Have you played at another college


By checking this box I authorize Mesa Community College to release my intercollegiate sports records to media requesting such information for publication or other use. I further authorize this institution to release such information which may include records either forwarded to this institution from high schools or other colleges attended by me to the MCC Sports Information Office. The released information may include any, or more, of the following: actual game participation statistics, pertinent personal data such as height, weight, age, hometown, grade-point average, college class status and past schools attended for use in personal feature articles and photographs, film, drawings or slides, pertinent medical information (in consultation with the team trainer/doctor and coach). Excluded is any academic information other than those of a positive nature, including public academic ceremonies. This release is given at the request of guidelines imposed by the Education Rights and Policy Act of 1975. *

 
* = required field

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