a-z listing en espanol Campus Calenders business community friends and visiters Los Medanos College header - takes you back to home page Jump to main content Apply and Register Classes & Programs Student Services LMC Resources

Print or email

social icon set facebook fan page YouTube channel LMC Twitter

 

First Contact Form (C)

Out-of-District Student Contact Athletic Form

In accordance with the rules and regulations established by the Commission on Athletics (COA) in California, you (the student) must establish "First Contact" with Los Medanos College Athletics.


NOTE: * = Required Field

Sport that you interested in:

Contact Information
* First Name: *Last Name:
*Address:
*City: *State: *ZipCode:
Email:
*Telephone:

Date of Birth: Gender: Male or Female

High School of Last Attendance:
Date of Last Attendance
High School Street Address:
City:
State: Zip Code
List the community college(s)
you would normally attend:


I hereby certify that I made first contact with Los Medanos College and that I am requesting information from this college without prior contact by members of the staff or persons representing the college.

* Yes (Required field)

security code
Enter Security Code:
 
(go back one page)

©2010 Los Medanos College (925) 439-2181 2700 East Leland Road, Pittsburg, CA 94565 [Map], [Legal & Privacy Notice]
[Police Services], [Faculty & Staff pages], District Sites [ CCC | DVC | SRVC | CCCCD | Brentwood]