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Student Athlete Information

If you are interested in joining one of the Raider athletic teams, please fill out the form below and submit it to the Raider Athletics Office.

Check the sports you are interested in.
 Soccer  Men's Basketball  Baseball
 Volleyball  Women's Basketball  Fastpitch Softball

Personal information:
Name: 
Local Address: 
City:     State:     Zip: 
Local Telephone:      Cell Phone: 
E-mail: 
Birthdate:      Height:     Weight: 
HighSchool:      Year Graduated: 
Name of Coach:      Coach's Telephone: 
Academic honors received: 
Athletic honors received: 
High School GPA:      Intended college major: 
Professional goal: 

Family information:
Father's name:  Mother's name: 
Address:  Address: 
City:  City: 
State:     Zip:  State:     Zip: 
Home phone:  Home phone: 
Office phone:  Office phone: 
Cell phone:  Cell phone: 

Review your information.

Press Submit button to send your information form to the Raider Athletics Office.