Defiance College Athletic Hall of Fame Registration Form
Email address *
Name *
Address: *
City, State Zip *
Telephone: *
Hobbies *
High School(s): *
College(s): *
Advanced Degrees, Year, College, Field:
Additional Studies:
College extra-curricular activities other than athletics:
Academic Honors:
If a Coach, Record (W/L) and School Years:
Current Occupation: *
Community Service: *
Married: *
Spouse's Name:
DC Grad? *
Graduated in (year):
Never submit passwords through Google Forms.
This form was created inside of Stryker Local Schools. - Terms of Service