UWA
Athletic Training Student Form
UWA ATSMC Logo


Please complete this by July 21, 2019 to assist us in planning for our 2019 Athletic Training Student Camp.

First Name
Last Name
Middle Name or Initial
Home Mailing Address
 City
State/Province
Zip Code
Permanent Home Phone
FAX
Local Mailing Address
 City
State
Zip Code
Cell Phone
Local Phone
Primary (UWA) E-mail
Secondary E-mail
Student # or SSN
As a AT student in the professional program I will be attending the Athletic Training Student Camp Aug. 3-18, 2019.
As a freshmen or transfer pre-professional AT student I will be attending the Athletic Training Student Camp Aug. 13-18, 2019.
I will need dormitory housing during the Athletic Training Student Camp.
I will be utilizing campus housing during the fall semester.  If not, please provide your local residence.  
I will eat ___ of my meals in the cafeteria during the pre-season camp.
T-Shirt Size:
Game Shirt Size:
If Female choose cut preference for game shirt
Shorts Size:
Please send me additional information regarding

Thank you very much for your time in providing this information.

The University of West Alabama Athletic Training & Sports Medicine Center
Revised: 07/06/19Hit Counter