St. Ambrose University Athletics - 2009-10 Student-Athlete Information Sheet

This information will be kept in the SAU Sports Information Office. By also filling out this form, you allow the SAU Sports Information Office to release applicable information to the media, including your inclusion on any conference and NAIA academic teams. Your GPA will never be released.

* Required

First Name *

Last Name *

Middle Initial

Gender *

Male
Female

Birthday * MM/DD/YYYY

Home Street Address *

City, State, Zip *

Home Phone # *

Cell Phone #

Email *

SAU Address *

SAU Phone # *

High School Attended *

Other Colleges Attended if applicable

Academic Major(s) *

Eligibility Year *

Parents' Names *

Parents' Street Address * if more than one, list all

Parents' City, State, Zip * if more than one, list all

Parents' Email * if more than one, list all

Father's Phone # * cell and/or home

Mother's Phone # * cell and/or home