Out-of-State Student Contract Record

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This form shall be completed by all student-athletes who are from outside the State of California. DIRECTIONS: A. Have each out-of-state student complete this form on the first person-to-person visit to the host college’s campus. Exception: Colleges with out-of-state recruiting waivers are exempt from this policy. B. When the student enrolls at your college, attach this FORM C to the college’s copy of the eligibility FORM 1 for first-contact verification.

Full Name: *

Phone Number: *

Date of Birth: *

Your Current Address: Street, City, State, Zip Code *

High School of Last Attendance *

Date of Last Attendance: *

List your sport(s) *

List the community college(s) you would normally attend: *

I hereby certify that I made the first contact with: Santa Rosa Junior College and that I have chosen this college without prior contact by members of the staff or persons representing the college. I understand that any misinformation will result in loss of eligibility and forfeiture of contests.

Signature: *

Today's Date: *

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