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Hartnell College Womens Soccer First Contact Form

Students Information

In accordance with the rules and regulations established by the Commission on Athletics (COA) in California, you (the student) must establish "First Contact" with Hartnell Community College Athletics.

Please take a few minutes to complete the form below. The information you provide will be referred to the appropriate coaching staff, enabling the coaching staff to respond to you. Contact jtrevino@hartnell.edu if you have difficulty completing this form online.


I hereby certify that I made first contact with Hartnell Community College and that I am requesting information from this college without prior contact by members of the staff or persons representing the college.
Yes (Required field)



First/Middle Initial/Last Name   
Gender Male Female
Birthdate
Address
City/State/Zip Code   
Email
Your Phone # Home:   Cell/Work:
High School Name
High School City/State/Zip Code   
H.S. Grad. Date
Comments: