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<% Function GetHeadline() GetHeadline="Soccer Alumni Form" End Function %> > Winona State University > Athletics > Women's Soccer > Soccer Alumni Form

The Winona State Women's Soccer program is interested in keeping touch with all Alumni and friends of the program, we ask you to please fill out the alumni profile form below and submit it. All email and personal information will be used for WSU Soccer purposes only and kept private unless otherwise specified by the individual.

All Fields with an * are required fields.

Personal Information

First Name* : Last Name* :
Maiden Name : Spouse's Name :
Address:
City:
State: Zip/Postal Code:
Country: Phone Number:
E-mail Address*: Graduation Year:*
Year(s) played: Number Worn:

Business Information
Employer Job Title
Address:
City:
State: Zip/Postal Code:
Work E-mail: Work Phone:

Where Do You Wish to Receive emails:
Miscellaneous Information

Please send me information on the following:

  Game Updates
  Alumni Game Information
  WSU Soccer Newsletter
Comments*

Last Modified: Thursday, May 08, 2008 14:04 by Mason Rebarchek

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