Athlete Publicity Release Form

Congratulations on becoming a Bethany Swede!

By completing this form you are giving your permission for us to release this information to newspapers and other media.

This information will not be sent to your hometown newspaper until you have been accepted to Bethany College.

Date / MM / DD YYYY
Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Hometown
Parent's Names *
Parent's email address
Your email address *
High School (include City/State)
Other Colleges (if applicable)
Sport (that you will play at Bethany) *
Position
Height
Weight
High School/College GPA
Please list sports you played in high school or college, including position and years started. *
Please list any academic/athletic honors and any extracurricular activities while in high school or college.
Anticipated major *
Name of Hometown Newspaper (include City/State) *

May

Today

Men's Outdoor T&F

Bethany at
NAIA Outdoor National Championships

Women's Outdoor T&F

Bethany at
NAIA Outdoor National Championships