2018 WESTCONN STUDENT-ATHLETE INFORMATION FORM

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LEGAL NOTICE

Note: This form comes under the purview of the Family Educational Rights and Privacy Act of 1974.  Purpose(s) of Disclosure: Information obtained from these records will assist in compilation of personal information for use in official department publications, for dissemination to the news media and for general public relations purposes. By signing this statement, I authorize WestConn’s Athletic Department personnel to review and to disseminate to third parties information in my personal "education records", including information contained on this form and any other education information collected and/or maintained by this institution for public relations purposes.

ALL PLAYERS (INCLUDING RETURNERS) MUST COMPLETE THIS FORM EACH YEAR – “SAME AS LAST YEAR” WILL NOT BE ACCEPTED

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