Champaign Central Athletics Alumni Database
First Name *
Last Name *
Maiden Name
Graduation Year *
YYYY
Phone Number
(###) - ### - ####
Email Address
Street Address
City/Town
State
Zip Code
In order to help connect with alumni I give permission to share the following information *
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Teams you competed for: *
please check all that apply
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I would like to receive updates/information about the following: *
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Did you compete in college
Clear selection
If "yes" which sports did you compete in at the college level *
please check all that apply
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Which College/University did you compete for?
Is there any other information you'd like to share?
(current profession, life accomplishments, etc)
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