Meredith Lacrosse Prospective Athlete Form

Email Secondary Email

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Personal Information

First Name *

Last Name *

Email address *

Address

City

State

ZIP/Postal

Contact Number

Cell Phone

Date Of Birth

Parent/Guardian #1

Name

Parent/Guardian #1

Phone Number

Parent/Guardian #1

Email

Parent/Guardian #2

Name

Parent/Guardian #2

Phone Number

Parent/Guardian #2

Email

Academic Information

High School Graduation Year

High School Name

College Name (if applicable)

High School Address

City

State

ZIP/Postal

Class Rank (x of x)

High School Grade-Point Average

College Grade-Point Average (if applicable)

SAT Math

SAT Critical Reading

SAT Writing

SAT Total

ACT Score

Intended Major

Academic Honors

In what other schools are you interested?

Playing Information

Position(s)

Height

Weight

High School Coach Name

High School Coach Phone Number

High School Coach Email

Club Team Name

* required field