EmailMe Form - Oregon Lax Recruit Form

(ATTENTION: Fields with * are required, and must be completed before you can successfully submit the form)

Name* *

Street Address* *

City, State* *

Zip* *

Phone Number* *

Email* *

Age, DOB* *

Interests, Hobbies

High School

HS Graduation Date

GPA

SAT

ACT

Taking Test Again?

College (if already attending)

Year In College

Academic Interests

Scholastic Honors

Extracurricular Activities

Have You Applied To U of O?* *

Have You Been Accepted To U of O?* *

Have you visited U of O?* *

If you plan to visit campus, when?* *

Other universities that you are interested in

Universities that are recruiting you

Number of years played* *

Position(s) (primary first)* *

Height, Weight

HS Coach

HS Coach Phone Number

HS Coach Email

Lacrosse achievements

Lacrosse camps attended/planning to attend

Other sports played and positions

Honors, achievements in other sports

Message for Coach Kerwin

Image Verification
	Please enter the text from the image: [Refresh Image] [What's This?]

Thank you!

Go Ducks!!