Sterling College Athletic Training Information

Sterling College Athletic Training Information

The information from this form will be used by the Sterling College Athletic Training Department.

  • Personal Information

  • Name *
  • Birthday * / / Pick a date.
  •  
  • Emergency Contact Information

  • Guardian Name *
  • Mobile Phone * - -
  • Home Phone * - -
  •  
  • Insurance Information

  • Insurance Company Phone Number * - -
  •  
  • Additional Information

  • If you have none, reply "None"

  • If you are not currently on medication, reply "None"

  • Please upload as a jpeg or pdf

  • Please upload as a jpeg or pdf