Newcomer Student-Athlete Questionnaire - Men's Basketball

FOR CURRENT SEWARD COUNTY ATHLETES ONLY, this is not a form for potential recruits.

(First Middle Last)
Ex. Liberal, Kansas
(Points Per Game, Rebounds Per Game, Assists Per Game, etc..)
(Ex. 2016 - 12.8 PPG, 8.5 RPG; 2015 - 14.2 PPG, 9.6 RPG)
(List Year & Awards - Ex. 2015 - All-District; 2016 - 2nd Team All-Conference)
(Team overall record, place in conference, state championships, etc.)
(Transfers Only)
(Transfers Only)
(Transfers Only)
(Transfers Only)
(Transfers Only)
(List Year & Awards)
(Ex. Sister - Lisa, 14; Brother - Tom, 16)
Photo/Video Release

I hereby grant to Seward County Community College absolute right and permission to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of College-related photographs, videotaped images and name of the undersigned person, in whole, in part, of in composite, for use in connection with the activities of the College or for promoting, publicizing or explaining the College or its activities.

This permission includes, without limitation, the right to publish such images in the College Web site, alumni magazine, and PR/promotional materials, such as marketing and admissions publications, advertisements, fund-raising materials, and any other College-related publication. These images may appear in any of the wide variety of formats and media now available to the College and that may be available in the future, including but not limited to print, broadcast, videotape, CD-ROM, DVD, and electronic/online media.

I hereby waive any right that I may have to inspect or approve the finished product or products or the advertising copy or printed matter that may be used in connection therewith or the use to which it may be applied.

I warrant that I am at least 18 years of age, and I am competent to contract in my own name. I further state that I have read the above authorization, release and agreement, prior to its execution, and that I am fully familiar with the contents thereof.

Photo/Video Release and the Buckley Amendment Release
* required field