Women's Basketball

Please fill out the registration form below and once you have submitted the form you will be contacted via email with a confirmation of your registration plus a medical disclaimer and insurance information form that needs to be sent in with your check to complete registration.

Please make non-refundable checks of $80 payable to: "Southwestern University Athletics". Mail check and signed and completed medical disclaimer and insurance information to:

Kerri Brinkoeter
Head Women's Basketball Coach
Robertson Center
1001 East University
Georgetown, TX 78626

REGISTRATION FORM

Name:   

Address:  

City/State/Zip:   

Email: 

Phone:   

Expected Year of Graduation:  Select One 2014 2015 2016

High School:   

High School Coach:   

Club Team:   

Club Coach: 

Position:  Select One 1 2 3 4 5

Name of Parent/Guardian:  

Email of Parent/Guardian:   

T-shirt size (adult sizes): Select One Small Medium Large Extra Large