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Varsity I Club Update Form

If you lettered in your sport as a former student-athlete at Illinois State University you are automatically a member of the Varsity I Club.

If you do not already receive mailings from the Varsity I Club or would like to update your current information please complete the form below and submit it.

New information (Complete all fields of form)
Updated information (Complete the name, email and updated information fields of form)
Personal Information
First Name: (required)
Middle Name: (required)
Last Name: (required)
Maiden Name:
Birthday:
Spouse:
Home Contact Information
Address:
City:	State: Zip:
Home Phone:	Cell:
Home Email: (required)
Business Contact Information
Company:
Title:
Company Address:
Company City:	State: Zip:
Work Phone:	Fax:
Work Email: (required)
Preferred Contact	Home \| Work
Additional Information
Sport(s):
Coach(es):
Degree and Year: (Example: BS/00)
Years at Illinois State: (Example: 1995,96,97,98)
Years Lettered: (Example: 1997,98)
Are you interested in serving on the Varsity I Club Committee?	Yes \| No
All information provided is solely for the use of the Varsity I Club and is not released.