Blue Player Number Form by fBL207G

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									                                                PLAYER CENSUS FORM
Our office requires information regarding participant numbers for the present year at your university or college. By
March 1st, please complete this form below with the correct number of participants (and include under
additions/deletions any sports being added or dropped for the coming year. You may complete and submit the form
in one of the following ways:

1.   Go to www.1stagency.com/forms/online/playercensusf.php, to complete the form and submit online; or
2.   Complete this form and mail to First Agency, Inc., 5071 West H Avenue, Kalamazoo, MI 49009; or
3.   Complete this form and fax to 269-381-3055; or
4.   Complete this form, then e-mail to 1stagency@1stagency.com.
SPORTS                                                    MALE            +         FEMALE            =            TOTAL
BASEBALL                                                                  +                           =
BASKETBALL                                                                +                           =
BOWLING                                                                   +                           =
CHEERLEADERS                                                              +                           =
CROSS-COUNTRY                                                             +                           =
EQUESTRIAN                                                                +                           =
FENCING                                                                   +                           =
FIELD HOCKEY                                                              +                           =
FOOTBALL (FALL)                                                           +                           =
FOOTBALL (SPRING)                                                         +                           =
GOLF                                                                      +                           =
GYMNASTICS                                                                +                           =
ICE HOCKEY                                                                +                           =
LACROSSE                                                                  +                           =
RIFLERY                                                                   +                           =
RODEO                                                                     +                           =
ROWING/CREW                                                               +                           =
SAILING                                                                   +                           =
SKIING                                                                    +                           =
SOCCER                                                                    +                           =
SOFTBALL                                                                  +                           =
STUDENT MANAGERS/TRAINERS                                                 +                           =
SWIMMING/DIVING                                                           +                           =
TENNIS                                                                    +                           =
TRACK AND FIELD (OUTDOOR)                                                 +                           =
TRACK AND FIELD (INDOOR)                                                  +                           =
VOLLEYBALL                                                                +                           =
WATER POLO                                                                +                           =
WRESTLING                                                                 +                           =
OTHER:                                                                    +                           =
                                                                          +                           =
                                                                          +                           =
ADDITIONS:                                                                +                           =
                                                                          +                           =
                                                                          +                           =
                                                                          +                           =
DELETIONS:                                                                +                           =
                                                                          +                           =
                                                                          +                           =
                                                                          +                           =
TOTALS                                                                    +                           =

Name of School:                                                                        Phone:
Address:
                                  Street                                           City                   State            Zip

                         Signed by                                                                    Title

Date:                                                         School Year:
                   PLEASE RETURN TO FIRST AGENCY BY MARCH 1ST------------------------------------------THANK YOU

								
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