The Wooden Athletic Fund | Bruin Varsity Club

Please update your contact information below to receive complimentary benefits and communications:

First Name: *

Last Name: *

Maiden Name: *

Married to another Bruin? Provide Spouse Name:

Address: *

City: *

State: *

Zip: *

Email: *

Cell Phone: *

Sport(S): *

Years Participated (i.e. 2000-2004): *

Year Graduated (If Applicable)

Industry & Profession

I am interested in becoming a PREMIER member: Yes No

I would like to receive my (FREE) ACTIVE Bruin Varsity Club membership card: Yes No

Interested in connecting with and mentoring current student-athletes: Yes No

For any questions, please contact Sam Glick, Director of the Bruin Varsity Club at 310-983-1346 or bruinvarsityclub@athletics.ucla.edu