Student-Athlete Information and Waiver Form

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Please make sure to fill out the form as best as you can. This information will be used in press releases, on the online roster page, in game day programs and more.



NOTE: Any vulgar or inappropriate answers will not be used and may result in disciplinary action as deemed necessary by your coach or the athletic administration.

This is your official information as listed on your birth certificate/ driver's license.

Sport: *
(This does not include the current academic year. Please include all junior college years as well.)

This is your preferred information which will appear on all rosters, press releases, etc.

(Ex: Michael James Smith may be listed as "Michael," "Mike," "Mikey," or "MJ." No personal 'nicknames' will be permitted.)
Academic Class Year: *
Does not have to be the same as your mailing address. List where you "claim to be from." (Ex: If you grew up in a suburb of Boston but moved to New York City, you can list that town, "Boston," or "New York City")
Major(s) *
List all

Bio Information Section: This is what appears in your personal bio section of the website. Please feel free to answer any-and-all questions that you would like to have shown.

And why....


Do you want to allow SVC Athletics to follow you on social media? *


If yes, please list your social media handles for those platforms you'd like us to follow you on:

IF YOU HAD PREVIOUSLY GRANTED FOLLOWING ACCESS IN THE PAST BUT DO NO LONGER WANT SVC ATHLETICS TO FOLLOW YOU, PLEASE CHECK HERE: (please also include those handles in the space above so that we can remove the correct access)

By clicking 'submit' on this form, you grant Southern Vermont College permission to use your name, photographs and information provided above for publicizing and marketing the athletic program, including press releases, publications and websites.

* required field