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Kinesiology, Athletics and Dance

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Out-of-District Student Contact Athletic Form

Out-of-District Student Contact Athletic Form

In accordance with the rules and regulations established by the Commission on Athletics (COA) in California, you (the student) must establish "First Contact" with Santa Rosa Junior College Athletics.

Please take a few minutes to complete the form below. The information you provide will be referred to the appropriate coaching staff, enabling the coaching staff to respond to you. Contact Therese Jennings if you have difficulty completing this form online.
I hereby certify that I made first contact with Santa Rosa Junior College and that I am requesting information from this college without prior contact by members of the staff or persons representing the college.

Yes (Required field)

NOTE: * = Required Field

Contact Information

* First Name: *Last Name:
*City: *State: *ZipCode:

Personal Information

Date of Birth: Gender: Male or Female

High School Information

Graduation Date:
High School Name:
High School Address:

Sports Interests

Baseball Men's Basketball Women's Basketball Men's Cross Country
Women's Cross Country Football Men's Golf Men's Soccer
Women's Soccer Softball Men's Swimming Women's Swimming
Men's Tennis Women's Tennis Men's Track and Field Women's Track and Field
Volleyball Men's Water Polo Women's Water Polo Wrestling


In the event of an error message, please print this form and mail or fax the completed information to:

Athletic Director
Santa Rosa Junior College
1501 Mendocino Avenue
Santa Rosa, CA 95401-4395

Athletic Director
Santa Rosa Junior College
(707) 524-1752

If you have further questions, please email Therese Jennings at: or contact the Physical Education, Dance & Athletics office at 707-527-4237.

Thank you.


Questions or comments about the Athletics Department section of the CWIS may be sent to:

Santa Rosa Junior College is officially accredited by the Western Association of Schools and Colleges