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 Information Request


If you are interested in playing basketball at Thaddeus Stevens College, fill out this information request form and a coach will contact you with more information:

     Name*: 
     Street Address*:
     Apt. #:
     City*:  State*:  Zip*:
     Phone Number*: Home -
     Phone Number: Cell -
     Email Address:
     High School*:

     Do you currently play basketball?  Yes     No
     If yes, what position:
    

* indicates required fields

You can also download this document, complete and submit it to the coach at the end of the form.