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Soccer Alumni Information Form

The Coffeyville soccer family wishes to re-connect with our past Red Raven players.  We know that many of you are very excited about the re-establishment of soccer at CCC.  The history of Red Raven soccer is important to us.  We'd like for you to share in the excitement of the new teams in the Fall of 2005.  Please take a moment of your time and fill out the Alumni Soccer Profile below.  We will contact you in the near future about alumni events and a possible alumni soccer reunion in the spring.  Thanks for supporting Red Raven soccer.  We look forward to hearing from you, and helping you re-connect with old friends and teammates that you had in your playing days at Coffeyville.  Go Ravens!

Name:

Address:

City:

State:   Zip Code:

Phone Number:

E-mail Address:

Years played at CCC:

Position Played:

(Please click the submit button only once.  It may take a few moments for the form to be processed.  You will be re-directed to a confirmation page once the form has been sent.)