CSU SIGNUP FORM

Last Name:

First Name:

E-mail address:

Year of Lacrosse eligibility
FR--SO--JR-- SR

Major:

Date of birth:

Height:

Weight:

E-mail Address: Local Phone Number:

Student ID Number:

High School attended and location:

Year graduated:

Awards, Hobbies, etc.

Home Address (parents)

Parents E-mail:

Parents Phone:

Parents Name:

Position

Attack--Midfield--Defense-- Longstick Mid-- Goalie

Have you ever been Captain? YES NO

Special skills - Face-off, EMO, MDD, etc.

Years of LAX Experience:

Camps or Clinics Attended:

Jersey Number request:

PRIMARY CHOICE:

SECONDARY CHOICE:

Other Sports Played in H.S.:

Goals for the team and yourself:

Interested in being an officer of the club/Teamcaptain? YES NO

Other Info:

Conflict Info SCHOOL AND WORK SCHEDULE