Become A Laker

Email Secondary Email

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Email address *

First name *

Last name *

Address 1

City *

State *

ZIP Code *

Cell Phone Number *

Birth Month *

Birth Day *

Birth Year *

High School *

H.S. Phone Number *

Graduation Year *

Major

When do you plan to enroll? *

Have you attended another college? *

Yes No

I am interested in playing (what sport or sports?): *

H.S. Coach *

H.S. Coach's Phone Number *

H.S. Position *

Height *

Questions/Comments: *

* required field