Susquehanna Swimming & Diving Recruit Questionnaire

Will you be attending the Alumni/Orange and Maroon Meet on Saturday, Nov. 7, 2009? Please enter YES or NO:

Also, please provide the information below to join the Susquehanna swimming & diving alumni database.

Name:

Class Year:

Street Address:

City:

State:

Zip Code:

E-mail Address:

Phone Number:

Is this an update to your contact information? YES or NO: