MJC Athletics Inquiry Form

Please complete this form as completely as possible and submit via e-mail and the coach for your sport will be given your information.  
You may also contact each coach individually via e-mail, or contact our Athletic Director at  209.575-6835, or e-mail: kaiserw@yosemite.cc.ca.us  
Thank you for your interest in becoming a Pirate!

Waiver:  By COA regulations, any prospective student-athlete who does not reside in the Yosemite Community College District and wishes information regarding enrollment and sports programs at  Modesto Junior College must initiate first contact with the Modesto Junior College Athletic Department.


First Name
M.I.
Last Name

home address

city		  
state
zip code
country

home phone number
e-mail address

birth date
age
high school last attended
 
proposed academic major
Sport (s) you are interested in
 
current year in school or occupation		  
present high school or college