DSCC Lady Eagles Prospect Showcase

Due to year end processing, registration will be closed June 28-30 and will resume July 1.

Section I: Participant Information

Participant Name:
Address:
City:
State:
ZIP:
Country:
Email Address:
Phone Number:
Emergency Contact Name:
Emergency Contact Phone Number:

Dyersburg State Community College (DSCC), pursuant to the Tennessee Personal Rights Protection Act of 1984, has permission to use the name, photo/video images, voice recordings and other characteristics making up the likeness of you or your child, who is under the age of 18 years, for promotional purposes as they see fit, unless you, as the parent or legal guardian, opt out. Therefore it is understood that no compensation will be made for allowing DSCC to use your/his/her name and/or likeness.
Initial to Opt Out:

Section II: Billing Information

Name on Card/ACH:
Address:
City:
State:
ZIP:
Country:
Email Address:

DSCC Lady Eagles Prospect Showcase Registration Form

DSCC Lady Eagles Prospect Showcase

Due to year end processing, registration will be closed June 28-30 and will resume July 1.

Section I: Participant Information

Section II: Billing Information

(NOTE: Payment information will be collected on the next screen.)