First Name                                  Middle Initial             Last Name
                                         

Name used while playing sports at Reinhardt (if different from above)

Address                                              City                                 State        ZIP
                    

Home Phone              Work Phone           Email
                        

Sport Played
(if you played more than 1 sport, put one here and others in the additional comments section)

Year(s) Played                   Year Graduated
                       

Please enter any additional comments here:

May we contact you via email? Yes    No

May we contact you via mail?  Yes   No

May we contact you via phone?  Yes   No

Are you currently a member of the Reinhardt Alumni (not sports alumni)?  Yes   No

Are you currently a member of the Eagles Club?  Yes   No