First Agency, Inc. of Kalamazoo, Michigan - The Leader in Student and Athletic

PLAYER CENSUS FORM

Our office requires information regarding participant numbers for the present year at your university or college. Complete the form below with the correct number of participants and include under additions/deletions any sports being added or dropped for the coming year. Please return to First Agency, Inc., address above, by the 1st day of May.

SPORTS	MALE	+	FEMALE	=	TOTAL
Baseball		+		=
Basketball		+		=
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		+		=
Others:
		+		=
		+		=
		+		=
Additions For Coming Year:
		+		=
		+		=
		+		=
Deletions For Coming Year:
		+		=
		+		=
		+		=
TOTAL:		+		=

INSTITUTION INFORMATION:

Name of Institution:

Address:

City:

State:

Zip Code:

Telephone Number:

Fax Number:

INFORMATION PROVIDED BY:

Name:

Job Title:

School Year:

PLEASE RETURN TO FIRST AGENCY BY MAY 1ST - THANK YOU!