Baseball/Football Locker Room Name Plate Form
Email
Secondary Email
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Email address *
Last name *
First name *
Graduation Year *
Sport Played at Moravian *
Sport Played at Moravian *
Check all that apply
Baseball
Football
Other
None
If you marked other to the previous question, please list sport(s) played at Moravian.
Uniform Number *
If you played both sports, please list both numbers and designate which number for each sport. If you did not play either sport at Moravian, please list 0.
If the name plate is recognizing a current student or honoring your classmates or loved one - List name, class year and sport of the person that should be listed on the name plate.
Please include uniform number if known
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* required field