Salve Regina University Athletics - Student Athlete Publicity Form

Student-athlete biographical information

Email address *

First name *

Last name *

Preferred Name

If you would like us to use a name other than your full first name on the web site and other materials (e.g. "Bob" for "Robert") please provide one here

Birth Date *

mm/dd/yyyy

Gender *

Female Male

Address *

Address (cont)

City *

State *

If not in USA, please type full address in Comments section below

Zip Code *

Cell Phone

Numbers only; no other characters

Height *

Weight

Male athletes only

Primary sport

Other sport(s)

For baseball and softball only - bats?

For baseball and softball only - throws?

For ice hockey only - shoots/catches?

Salve Regina year of graduation *

What is your anticipated graduation?

Academic Program *

What is your desired major?

Academic Program

Please add your major if not listed in above field

For RETURNING student-athletes only - list any significant updates since the last time you completed this form

You may advance to the bottom of page to submit after completing this area

All NEW student-athletes should complete the remainder of this form

Please enter your high school here *

If transfer, from where?

List dates attended and sport(s) played

Parent(s) name(s)

First Last

Siblings

List name(s) with age(s)

Please tell us more

Athletic highlights

Academic highlights

Why did you choose Salve Regina?

These are some of your favorite things

Favorite sports hero?

Favorite non-sports person?

Person in history I'd most like to meet?

Song and/or artist I listen to most?

Favorite food?

Least-favorite food?

Farthest trip from home?

Favorite toy as a child?

Movie I could see over and over?

Book I recommend to others?

One thing I'd change about myself?

Famous relatives?

Miscellaneous

List hometown newspaper(s)

Feature story idea?

Briefly describe why you may have a story for our media outlets (includes Report From Newport)

Comments

Use this space to enter non-U.S. home address; Twitter and/or Instagram; other pertinent information

By clicking "Submit" I hereby authorize the athletics communications office to use some or all of the information listed above and any other present and future information about me as a student (including grade-point averages exceeding 3.0) and athlete at Salve Regina University, as well as any photos taken by or for the athletic department, for sports publicity and information purposes. Contact information is kept confidential. I grant this authorization as a waiver to my rights under the Education Amendment of 1972 to restrict the release of information to persons outside of the University.

* required field