Please fill in as much information as possible.

Your full name (First, Last, Maiden.)

Street Address

City, State

ZIP

Phone (day)

Phone (evening)

E-mail

Fax

Employer

Title

Type of Business

Hometown

High School

Did you play sports at SCU?
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If so, what sport(s)?

Years Played?
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Did you coach sports at SCU?
Yes No

If so, what sport(s)?

Years Coached?

Did you graduate from SCU?

Yes No

If so, What year?

Are you currently a member of the Bronco Bench Foundation?

Yes No

Would you like us to mail you information on Bronco Athletics?

Yes No

How many years has it been since you last attended a Santa Clara athletic event?