2019 Baseball Sports Information Form
Please fill in the required information with an asterisk (*); If any of the information below is missing or incomplete, it will not be accepted.
Personal Information:
Full Name* (First and Last):
Preferred First Name on Roster:
Academic Class (Fr./So./Jr./Sr.):* Age*: DOB* (MM/DD/YYYY):
Ht*(Ex - 5-11): Wt.* (men only):
Hometown*:
Major*: Minor:
Student ID Number*: College Address*: Dorm-Number/Off Campus Address: If you live on campus, just put down the Dorm and Room number. There is no need to put the rest of the campus address. City: State: Zip: Permanent Address*: Street/Apt. Number: City: State: Zip: Parent/Guardian Name(s)*: Parent/Guardian(s) Address: Check here if this is same as Permanent Address Street/Apt. Number: City: State: Zip:
Personal Emergency Contact Information*: Local/Cell Phone: Worcester E-Mail: @worcester.edu (If you do not have a worcester-e-mail please leave field blank)
In case of Emergency, Please Notify:
Name:
Relationship:
Primary Number or Cell Phone:
Home Phone:
Work Phone:
Additional Information That Might Be Needed In Case of An Emergency:
Position/Events*:
Bat - L R / Throw - L R
Years Played at WSU* (Not including current one): 0 1 2 3 4 Athletic Class (Fr./So./Jr./Sr.):* Hometown Newspaper*: Weekly: Daily: Academic Honors Achieved (while at Worcester State):
High School Awards/Honors Received: If you have attended a previous institution where you participated in collegiate athletics: Previous School: Years Attended: