This form is a record kept on file by the Adrian College Sports Information Office to be used to compile information for programs, press guides and news stories. In order for us to create an accurate biography, please fill this out as completely as possible.
To help us create feature articles and notify the media of potentially interesting feature story ideas, please list any personal information that people might find interesting or may not know about you. For example, are you related to anyone famous? Did you have a career prior to coming to Adrian? Are you the first in your family to go to college?
HIGH SCHOOL INFORMATION
JUNIOR/TRAVEL/CLUB TEAM INFORMATION
(if a transfer from another school)
PERSONAL FUN INFORMATION
(please, no more than 1 per question)
HOMETOWN MEDIA OUTLETS
Permission for the release of information
I, the undersigned, authorize Adrian College, to release my intercollegiate participatory sports records to the media requesting such information for publication or other use. I further authorize the institution to release such information which may include records earlier forwarded to this institution from high school and other colleges attended by me to the media by the AC sports information office.
The released information may include the following: actual game statistics, pertinent personal data such as height, weight, position, age, hometown, college class status and past schools attended, comments for use in feature articles and photographs, films, drawings or slides, pertinent medical information in consultation with the head athletic trainer, doctor or coach. Excluded from this information for release are any other academic records other than those of a positive nature such as for promotion with the mass media for conference or national athletic academic honors. Your grade point average may be used to highlight your achievement in print or online. I authorize Adrian College to use my image and/or likeness for promotional purposes with my consent.
I also acknowledge that I have read and understand Adrian College's
Social Media Policy,
Code of Conduct, and the
Summary NCAA Regulations -- NCAA Division III.
This release is given at the request of the guidelines imposed by the Education Rights and Privacy Act of 1975.