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General
First Name
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Last Name
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Email Address
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Hometown/State
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Home Address1
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Home Address2
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Graduation Year
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Profile Image
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Background
Parent/Guardian 1 Name
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Parent/Guardian 1 Phone Number
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Parent/Guardian 1 Email Address
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Parent/Guardian 2 Name
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Parent/Guardian 2 Phone Number
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Parent/Guardian 2 Email Address
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Academic
High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
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Academic Interests
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Athletic
Position
Attack
Midfield
Defense
Goalie
Face Off
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Tournaments/Camps/Clinics attending
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High School Coach Name
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High School Coach Phone Number
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High School Coach Email
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Club Team Name
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Club Team Coach Name
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Club Team Coach Email
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Years of lacrosse experience
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Other Athletic Interests
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How did you find out about Regis College Lax (W)?
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Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Mother
Father
Guardian
Sibling
Grandparent
Relative
HS Coach
Club Coach
Athletic Director
Scout/Recruiter
Trainer
Mentor
Guidance Counselor
Teacher
Friend
Other
Email
Main #
Secondary #
Cell #
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Invalid Main
Invalid Secondary
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Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
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