Women's Basketball Inquiry Form

Athlete Information

First Name

Preferred First Name / Nickname (if different from above)

Last Name

Email Address

Home Address

Country

Street

City

Region

Postal Code

I would like to receive text messages from Corban University.

Yes

No

Mobile Phone Number

Phone Number

By providing your email and/or mobile number, you agree to receive communication from Corban University via email, text, mail, and/or phone calls. You may update your preferences any time by contacting us

School Information

Are you a high school student or a college student?

High School

College

High School

High School Graduation Year

When do you plan to start attending college?
(Typically the fall term in the year you graduate high school.)

Current College

Current Year in College

When do you plan to start classes at Corban?

Parent / Legal Guardian Information

DeleteParent / Legal Guardian _ID_
Parent/Legal Guardian First Name Parent/Legal Guardian Last Name Parent/Legal Guardian Email Relationship to you: Relationship to you: Father Grandparent Legal Guardian Mother Step Father Step Mother Other

Add Another Parent / Legal Guardian

Additional Information

Please enter any additional info you would like to share: