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Print this form and send to:
College of the Siskiyous
Attn: Billy Hefflinger                                OR
800 College Ave.
Weed, CA 96094

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Drafted (team and year):

Years Coached at Siskiyous:

Head Coach / Assistant Coach (circle which applies)

Head Coach at Time of your coaching assignment:

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City:

State:

Zip Code:

Phone Number:

E-Mail Address :

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